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Just days after denouncing "out-of-control" drug prices, President Donald Trump appears set to show he doesn't mean it by naming a former pharmaceutical company executive to run the U.S. Department of Health and Human Services. If Alex Azar is nominated and his nomination confirmed, then Big Pharma's coup d'etat in the health care sphere will be virtually complete.
In his public statements, Alex Azar has made clear that he is opposed to measures to restrain drug company profiteering and limit improper marketing and favors weaker drug safety approval standards.
Americans understand, passionately, that drug company price gouging leads to rationing of care. It is unethical and must end. Even President Trump says so. But it is highly unlikely that a pharmaceutical company executive who has made passionate arguments against price restraints is going to advance real reform. Much more likely is that he serves as the instrument by which Big Pharma aims to defend its monopolies and unaffordable prices.
The swamp only gets worse. Tom Price supported Big Pharma in the U.S. Congress. Now apparently Trump has decided to cut out the middleman, and let a pharmaceutical executive literally run the health department.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
(202) 588-1000"Tragically, eight Democrats caved," said Sen. Bernie Sanders. "But the struggle continues. Short term, we must not allow health care premiums to double for more than 20 million Americans."
Millions of Americans hoping for legislative action to prevent their health insurance premiums from skyrocketing will find no reprieve in the all-but-finalized deal to end the federal government shutdown.
The agreement, supported by eight Democratic senators with the tacit approval of Senate Minority Leader Chuck Schumer (D-NY), includes nothing concrete regarding the enhanced Affordable Care Act tax credits that help more than 20 million Americans afford health insurance.
Rather, Democrats secured a pledge from the Senate Republican leadership to hold a vote on the tax credits next month—a vote that's almost certain to fail amid GOP opposition. Even if a tax credit extension passed the Senate, House Speaker Mike Johnson (R-La.) has refused to commit to a vote.
That leaves millions of people across the United States facing massive premium increases; in some congressional districts, monthly costs could surge more than 600%.
"The fact is that if Republicans and the president refuse to extend the premium tax credit enhancements, millions of people will face astronomical premium increases, including small business owners, young adults, and workers without affordable employer coverage," said Sharon Parrott, president of the Center on Budget and Policy Priorities (CBPP).
"Many will decide that they can't afford to sign up for coverage at all; that's why the Congressional Budget Office projects that nearly 4 million people will become uninsured," Parrott added.
In an analysis released last week, CBPP emphasized that "people with lower incomes will tend to face the largest percentage increases in premium costs" if the ACA tax credits are allowed to lapse at the end of the year.
A family of four with an annual income of $66,000, according to CBPP, will see monthly insurance premiums rise from $121 to $373 in 2026. That amounts to $3,204 extra for next year—a price many will be unable to afford.
“I have to face the reality that I am probably going to become a late-stage cancer patient who’s uninsured,” Sunni Montgomery, a 63-year-old battling lung cancer, told CNN, noting her premium is set to rise to $1,758 per month.
"I have fought this so hard," Montgomery added. "I want to live."
Politico reported Tuesday "fractured conversations among Republicans are promising to bog down negotiations" on the ACA subsidies "as Obamacare beneficiaries begin to lock in their rates for the year ahead."
"Lawmakers on both sides of the aisle are starting to privately admit it’s likely too late to avert a major premium hike for millions of Americans in 2026," the outlet added.
Sen. Bernie Sanders (I-Vt.), the most prominent proponent of Medicare for All in Congress, said Monday that while eight Democrats "tragically" caved to Republicans, "the struggle continues."
"Short term, we must not allow health care premiums to double for more than 20 million Americans," said Sanders. "Long term, we must provide health care to all as a human right."
"Sami never should have spent a single night in an ICE cell," said one advocate. "His only real ‘offense’ was speaking clearly about Israel’s genocidal war crimes against Palestinians."
A leading Muslim civil rights group in the US applauded Monday as the Trump administration's agreement to release British pro-Palestinian commentator Sami Hamdi acknowledged that he is not "a danger to the community or to national security," after he was held in Immigration and Customs Enforcement detention for more than two weeks.
Hamdi's family and the California chapter of the Council on American-Islamic Relations (CAIR), which has been representing the journalist, expressed relief at the news that he had accepted an offer to leave the US voluntarily.
Hamdi was detained at San Francisco International Airport on October 26, mid-way through a US speaking tour during which he spoke about Palestinian rights and Israel's US-backed war in Gaza, which has killed more than 68,000 Palestinians.
The journalist, who is Muslim and of Tunisian and Algerian descent, had just spoken at an event in Sacramento, where he called on US leaders to take an "America First" rather than "Israel First" approach to its policy in the Middle East.
As Prem Thakker reported at Zeteo News, two "unelected, far-right, Islamophobic figures," Laura Loomer and Amy Mekelburg, took credit for "investigating" Hamdi. Mekelburg published a report that called on the US to deport Hamdi and prohibit him from entering the country, claiming he was “training US Muslims in digital agitation, electoral sabotage, and political warfare in alignment with Muslim Brotherhood doctrine.”
Loomer, a far-right conspiracy theorist, has become known during President Donald Trump's second term as someone with a considerable influence over the White House. Two days after Mekelburg's report was published, the US State Department revoked Hamdi's visa, and a day later ICE arrested him.
"His forthcoming release is welcome, but it does not erase the message this sends to every activist and journalist watching—and every authoritarian dictatorship worldwide who can now claim they are following America’s example.”
The Trump administration said at the time that it had "no obligation to host foreigners who support terrorism and actively undermine the safety of Americans," and appeared to reference comments Hamdi made after the October 7, 2023 Hamas-led attack on Israel. The Department of Homeland Security shared a video clip released by the pro-Israel group Memri, which showed Hamdi saying Palestinians should “celebrate their victory."
As The Guardian reported, Hamdi later clarified those remarks, saying, "We don’t celebrate blood lust, we don’t celebrate death and we don’t celebrate war... What Muslims are celebrating is not war, they’re celebrating the revival of a cause—a just cause—that everybody thought was dead, this is an important distinction."
Hamdi's wife, Soumaya Hamdi, told The Guardian after his arrest that the Memri video had been “edited in a way to frame Sami in a horrible light and produced by an organization that is very well known to be anti-Muslim, anti-Arab, Islamophobic, and out there to target people who are speaking up against the genocide against Palestinians."
CAIR-CA emphasized Monday that in Hamdi's immigration charging documents, the US government alleged only a visa overstay "and never identified any criminal conduct or security grounds."
“It is this simple: Sami never should have spent a single night in an ICE cell. His only real ‘offense’ was speaking clearly about Israel’s genocidal war crimes against Palestinians," said Hussam Ayloush, CEO of CAIR-CA.
“Sami’s case shows how quickly our government officials are willing to sacrifice our First Amendment and free press when a journalist uses his platform to dare put America first before Israel," said Ayloush. "His forthcoming release is welcome, but it does not erase the message this sends to every activist and journalist watching—and every authoritarian dictatorship worldwide who can now claim they are following America’s example.”
"The Democratic Party at the leadership level has really just become entirely feckless," said the progressive US Senate candidate running to unseat Republican Sen. Susan Collins.
Progressive US Senate candidate Graham Platner said late Monday that the leadership of the national Democratic Party must be replaced as eight Democratic senators—with the tacit approval of Chuck Schumer—voted with Republicans to end the government shutdown without a deal to avert a disastrous surge in health insurance premiums.
"The Democratic Party, at the leadership level, has really just become entirely feckless," Platner, who is running to unseat Sen. Susan Collins (R-Maine), said on a call hosted by Our Revolution, a progressive advocacy group that is also calling on Schumer (D-NY) to step down as leader of the Senate Democratic caucus.
"It is his job to make sure that his caucus is voting along the lines that are going to be good for the people," Platner said on Monday's call. "He is just completely unable to rise to this moment in American history."
"We gotta get rid of them," Platner said of Democratic leaders. "They have to go."
🚨 Tonight, U.S. Senate candidate Graham Platner didn’t hold back:
“The Democratic Party at the leadership level has really just become entirely feckless. There’s an inability to wield power — and people are fed up," he said live on Our Revolution’s 2026 Kickoff Call.
"What… pic.twitter.com/OjiwOMTcaW
— Our Revolution (@OurRevolution) November 11, 2025
On Monday night, eight Democratic caucus members—Sens. Jeanne Shaheen of New Hampshire, Dick Durbin of Illinois, Tim Kaine of Virginia, Maggie Hassan of New Hampshire, Angus King of Maine, Jacky Rosen and Catherine Cortez Masto of Nevada, and John Fetterman of Pennsylvania—broke ranks and voted with Republicans to send a government funding deal to the House, effectively ending a standoff over Affordable Care Act (ACA) subsidies that are set to lapse at the end of the year.
In addition to doing nothing to extend the enhanced ACA tax credits, the bill lacks language "saying that Trump has to spend the money," The American Prospect's David Dayen lamented.
"He can keep withholding funds, and even rescind them with a party-line vote," Dayen added. "None of the problems that inspired the shutdown are resolved."
Schumer personally voted against the legislation, which progressives dismissed as a face-saving maneuver.
Durbin, who is not running for reelection next year, told reporters that Schumer was "not happy" when informed of the Illinois senator's decision to vote with Republicans to end the shutdown.
"But he accepted it," Durbin added. "I think our friendship is still intact."
The Democratic capitulation after what became the longest shutdown in US history sparked an eruption of anger within the Democratic Party and from outside advocates who backed Democrats' effort to extend the ACA tax credits as premiums skyrocket, viewing the fight as both good policy and good politics.
The progressive organization MoveOn said late Monday that, in the wake of Democrats' surrender, 80% of its members voiced support for Schumer resigning as leader of the Senate Democratic caucus, a position that was also expressed by progressives in the House of Representatives.
“With Donald Trump and the Republican Party doubling healthcare premiums, weaponizing our military against us, and ripping food away from children, MoveOn members cannot accept weak leadership at the helm of the Democratic Party," said Katie Bethell, executive director of MoveOn Political Action. "Inexplicably, some Senate Democrats, under Leader Schumer’s watch, decided to surrender. It is time for Senator Schumer to step aside as minority leader to make room for those who are willing to fight fire with fire when the basic needs of working people are on the line."
Schumer is not up for reelection until 2028; progressive Rep. Alexandria Ocasio-Cortez (D-NY) has been floated as a possible primary challenger. Prior to the 2028 contest, it's far from clear that enough Senate Democratic caucus would support removing Schumer from the position he's held since 2017.
House Minority Leader Hakeem Jeffries (D-NY) voiced support for Schumer on Monday, indicating that he views the Senate Democratic leader as "effective" even as he folded, yet again, to President Donald Trump and the Republican Party.