July, 21 2020, 12:00am EDT

WASHINGTON
As thousands of Americans find themselves facing COVID-19-related hospital bills, seven organizations sent a letter to Congressman Richard Neal (D-MA) urging him to address the injustice of surprise medical billing. As Chairman of the House Ways and Means Committee, Neal has the power to quickly move legislation to end this cruelty of the American health care system.
Surprise bills - in which a patient receives charges for out-of-network services they couldn't possibly have anticipated - cost Americans with employer-sponsored insurance $40 billion annually. About one in five emergency room visits, half of ground ambulance trips, and 70 percent of air transport trips have the potential to result in a surprise bill for patients, due to the high likelihood they will be out-of-network.
In 2019, a bipartisan deal to end surprise medical billing was tanked by Chairman Neal at the last second. Instead, Neal and Ranking Member Kevin Brady introduced a bill that would have resulted in higher costs for patients and benefited private equity firms and insurance companies. Blackstone, a private equity firm now under scrutiny for sticking patients with surprise medical bills during the coronavirus pandemic, is Neal's top 2020 campaign contributor.
"Congressman Neal needs to stop obstructing efforts to protect people from predatory behavior like surprise billing and start being part of the solution," said Sarah Miller, Executive Director of the American Economic Liberties Project. "With cases of COVID-19 surging across the country, Neal should use his power as Chairman of House Ways and Means to immediately end surprise billing."
"Private equity is the driving force behind the epidemic of surprise billing. Their interest, money and influence, must not be allowed to prevent common sense measures to stop them from gouging families," said Ricardo Valadez, Private Equity Campaigns Manager to the Americans for Financial Reform. "Congress should also take up the comprehensive stop wall street looting act to curb private equity abuses that harm workers, patients, communities, and the environment."
"It is no surprise that private equity firms are seeking to maintain the status quo so they can continue squeezing obscene profits out of the American people, even if it means driving them into medical debt or bankruptcy during a global pandemic," said Eagan Kemp, Public Citizen's health care policy advocate. "What remains frustrating is that this problem would already be solved if it weren't for politicians taking private equity money and doing their bidding by blocking legislation that would ban surprise bills."
"Richie Neal is one of the most powerful members of Congress, and it's clear he's using that power to benefit Wall Street fund managers instead of regular Americans," said Michael Kink, counsel to the Center for Popular Democracy. "It's time to put people over profits, end surprise billing, and crack down on private equity greed instead of enabling it."
A copy of the letter is available here. It was signed by: the American Economic Liberties Project, Americans for Financial Reform, Center for Popular Democracy, Private Equity Stakeholder Project, Public Citizen, Revolving Door Project, and Strong Economy for All.
The American Economic Liberties Project works to ensure America's system of commerce is structured to advance, rather than undermine, economic liberty, fair commerce, and a secure, inclusive democracy. Economic Liberties believes true economic liberty means entrepreneurs and businesses large and small succeed on the merits of their ideas and hard work; commerce empowers consumers, workers, farmers, and engineers instead of subjecting them to discrimination and abuse from financiers and monopolists; foreign trade arrangements support domestic security and democracy; and wealth is broadly distributed to support equitable political power.
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The US Supreme Court's right-wing supermajority on Thursday gave Texas Republicans a green light to use a political map redrawn at the request of President Donald Trump to help the GOP retain control of Congress in the 2026 midterm elections.
Since Texas lawmakers passed and GOP Gov. Greg Abbott signed the gerrymandering bill in August, Democratic California Gov. Gavin Newsom and his constituents have responded with updated congressional districts to benefit Democrats, while Republican legislators in Indiana, Missouri, and North Carolina—under pressure from the president—have pursued new maps for their states.
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"Texas is likely to succeed on the merits of its claim that the district court committed at least two serious errors," the Supreme Court's majority wrote. "First, the district court failed to honor the presumption of legislative good faith by construing ambiguous direct and circumstantial evidence against the Legislature."
"Second, the district court failed to draw a dispositive or near-dispositive adverse inference against respondents even though they did not produce a viable alternative map that met the state's avowedly partisan goals," the majority continued. "The district court improperly inserted itself into an active primary campaign, causing much confusion and upsetting the delicate federal-state balance in elections."
Texas clearly did a racial gerrymander, which is illegal.A district court found that Texas did a racial gerrymander, rejecting the new map because it is illegal.But the Supreme Court reversed it.Because? Must assume the gerrymanderers were acting in good faith (despite the evidence otherwise).
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— Nicholas Grossman (@nicholasgrossman.bsky.social) December 4, 2025 at 6:18 PM
The court's three liberals—Justices Ketanji Brown Jackson, Elena Kagan, and Sonia Sotomayor—dissented. Contrasting the three-month process that led to the map initially being struck down and the majority's move to reverse "that judgment based on its perusal, over a holiday weekend, of a cold paper record," Kagan wrote for the trio that "we are a higher court than the district court, but we are not a better one when it comes to making such a fact-based decision."
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Simply amazing that the Supreme Court declared an end to legal race discrimination in the affirmative action case two years ago and now allows overt racism in both immigration arrests and redistricting.Using race to help minorities? Bad. Using it to discriminate against them? Very, very good.
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— Mark Joseph Stern (@mjsdc.bsky.social) December 4, 2025 at 6:52 PM
Top Democrats in the state and country swiftly condemned the court's majority. Democratic National Committee Chair Ken Martin called it "wrong—both morally and legally," and argued that "once again, the Supreme Court gave Trump exactly what he wanted: a rigged map to help Republicans avoid accountability in the midterms for turning their backs on the American people."
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SCOTUS conservative justices upholding Texas gerrymander is yet another example of how Roberts court has greenlit the many undemocratic schemes of Trump and his partyThey’ve now ruled for Trump and his allies in 90 percent of shadow docket opinions www.motherjones.com/politics/202...
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— Ari Berman (@ariberman.bsky.social) December 4, 2025 at 6:52 PM
Christina Harvey, executive director of the progressive advocacy group Stand Up America, said in a statement that "the right-wing majority on the Supreme Court just handed Republicans five new seats in Congress, rubber-stamping Texas Republicans' MAGA power grab. Make no mistake: This isn't about fair representation for Texans. It is about sidelining voters of color and helping Trump and Republican politicians dodge accountability for their unpopular agenda."
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