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Up to 12 Million Americans Have Lost Health Coverage During Trump’s Second Term: Analysis
Republicans' cuts to Medicaid and their refusal to extend enhanced Affordable Care Act subsidies are key factors in the coverage drop.
Oct 09, 2026
Independent healthcare analyst Charles Gaba on Thursday published an updated analysis estimating that up to 12 million Americans have lost their insurance coverage since the start of President Donald Trump's second term.
Gaba based his new estimate on updated data he compiled from recent reports for Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), as well as some state enrollment data for Affordable Care Act (ACA) insurance exchanges.
In total, Gaba found that enrollment in Medicaid and CHIP has dropped by 6.2 million people since the start of Trump's second term, while enrollment in ACA exchanges is down by anywhere from 4.6 million to 6.1 million people, and enrollment in Basic Health Plans (BHP) is down by nearly 275,000 people over the same period.
While there are around 1.8 million more people enrolled in Medicare now than there were at the start of Trump's term, Gaba noted that this isn't nearly enough to make up for the loss of enrollment in other programs.
Adding everything up, Gaba estimated that "between 10.88 million and 12.40 million fewer Americans enrolled in a public healthcare coverage program as of June 2026 than in were as of January 2025."
As in prior analyses, Gaba examined the possibility that some of the people who lost coverage through these programs transitioned to employer-sponsored insurance, but deemed it "extremely unlikely... since unemployment is higher than it was in January 2025."
Over the last two years, Trump and congressional Republicans have taken a number of actions that have made healthcare less affordable and pushed people off coverage.
First, they cut spending on Medicaid by an estimated $900 billion over a 10-year period when they enacted the One Big Beautiful Bill Act in 2025. The Congressional Budget Office projects these cuts will leave more than 10 million fewer people enrolled in the program by 2034.
GOP lawmakers last year also refused to extend enhanced subsidies for insurance plans purchased through the ACA, even as insurers raised premiums on those plans by an average of 26% this year, according to an analysis published by KFF.
In a Thursday article published by Time, scholars Neale Mahoney and Abigail Sanchez of the Stanford Institute for Economic Research warned that the costs of private health insurance are set to spike even further in 2027.
"Employer health plan costs are projected to rise 8 to 10% next year," Mahoney and Sanchez explained, "the largest increase in more than 20 years and double the average increase of the 2010s."
The two researchers said there are three major reasons for the surge in insurance costs: The expiration of the enhanced ACA subsidies, an increase in premiums and out-of-pocket costs for employer-based insurance plans, and the upcoming Medicaid work requirements projected to push millions of people off the program.
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Trump to Send $90 Medicare Checks, Says Americans Can ‘Rest Assured’ $5,000 Will Follow After Midterms
"At this point, Trump’s economic policy is starting to look less like governing and more like Publishers Clearing House with a campaign logo."
Oct 03, 2026
With the midterm elections just weeks away, President Donald Trump announced on Friday that more than 20 million Medicare Part B beneficiaries will receive a one-time $90 payment this month.
Trump, who declared on Truth Social that his administration would send out "checks," said the money will come from the $2 billion Medicare Improvement Fund and is expected to appear in seniors' bank accounts around October 8.
The $90 payment is not even enough to cover half of the standard monthly Medicare Part B premium payment, which is about $202. But Trump described the comparatively small payment as proof that Americans could trust his promise of a much heftier windfall if Republicans prevail in next month's elections.
"Because I delivered on this very important issue for the American people, they can also rest assured the highly popular $5,000 Trump Dividend will be distributed to every U.S. Citizen if, and when, the Republicans win the Midterm Elections!" Trump said.
Americans have reason to be skeptical that they will ever see such a payout. Although roughly 1 million unsubsidized Affordable Care Act enrollees are currently receiving $500 payments, Trump has on several other occasions floated or promised Americans larger sums of free money that never materialized.
In February 2025, he proposed $5,000 "DOGE dividend" checks for Americans, purportedly funded by savings generated by Elon Musk's Department of Government Efficiency, but the payments were never authorized by the GOP-controlled Congress.
That November, he promised that most Americans would receive tariff payments of "at least $2,000 a person," but Congress has still not authorized them nearly a year later.
Sending all 240 million adult citizens a $5,000 check, as Trump has promised to do if the GOP wins the midterms, would cost an estimated $1.2 trillion.
"At this point Trump’s economic policy is starting to look less like governing and more like Publishers Clearing House with a campaign logo," remarked the Indiana-based political commentator Mike Young.
Sen. Ron Wyden (D-Ore.) described the payments as "Trump's latest attempt to bribe the American public," arguing that $90 amounts to a pittance compared with the higher costs seniors are facing under Trump's policies.
"This year, Trump handed seniors a $200 monthly Medicare premium for the first time ever, and he also shoveled $20 billion in extra payments to insurance companies selling private Medicare plans,” Wyden said. “This is another desperate attempt by a failed president to escape Americans’ revulsion with his failed agenda, amounting to one tank of Trump-inflated gas.”
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'Sickening and Unacceptable': Anger Mounts as Trump and Vance Gleefully Rip Healthcare From 750,000
"Just six weeks out from the election, the Trump administration continues to kick working Americans while they’re down."
Sep 23, 2026
Anger and alarm are growing over the Trump administration's Tuesday announcement that it is removing at least 750,000 people from their Affordable Care Act coverage because they were "fraudulently" enrolled, a claim that drew deep skepticism from health policy experts and advocates.
Cynthia Cox, senior vice president at KFF, said fraud undoubtedly exists in the ACA marketplaces, noting that "some brokers have enrolled people without their knowledge or switched their plans so the broker could get a commission on the sale." But she warned that at least some of the hundreds of thousands of people targeted by the Trump administration "were likely legitimately enrolled."
Leading Trump administration officials, including Vice President JD Vance and Centers for Medicare and Medicaid Services Administrator Mehmet Oz, announced the large-scale disenrollment during a celebratory press conference on Tuesday, proclaiming that the ACA purge would save American taxpayers $2.2 billion.
“Rather than addressing rising healthcare costs, the administration is forcing more Americans to become uninsured, live sicker, die younger, and risk being one emergency away from financial ruin," said Anthony Wright, executive director of the advocacy group Families USA. "People are uninsured because of this administration’s own aggressive policies to push and price people out of their health plans, making it harder to get on and stay on coverage."
Among the criteria the administration used to determine whether someone was fraudulently enrolled in the ACA, according to Oz, was if they had "never filed a claim." But health policy experts say it is hardly uncommon for healthy people to not use their insurance in a given year.
The Trump administration did not provide specific breakdowns of why the roughly 750,000 people were stripped of ACA coverage. Vance said during Tuesday's press conference that the federal government uncovered a "fraud ring" involving 40 brokerage agents who funneled around 50,000 people into market place coverage—but the vice president admitted that "some of those people were probably legitimate."
Oz and Vance insisted that the administration went to great lengths to contact those they suspected were enrolled without their knowledge or consent. The officials also said the administration was scrutinizing more than 400,000 additional ACA enrollees for purported fraud, potentially pushing the number of people removed from the program above 1 million.
Ailen Arreaza, executive director of ParentsTogether, said in a statement Tuesday that "while millions of families across the country struggle to afford groceries, housing, childcare, and healthcare, this administration is celebrating taking health coverage away from three-quarters of a million people."
"That tells us everything we need to know," Arreaza added.
Analysts estimate that around 10 million people have lost health insurance coverage since the start of President Donald Trump's term, due in large part a Republican budget package that slashed Medicaid by around $800 billion and did nothing to extend enhanced ACA subsidies, sending premiums soaring for millions of marketplace enrollees—and pricing many people out of coverage.
American voters have consistently ranked healthcare costs as a top concern heading into the 2026 midterm elections. Joel Payne, chief communications officer at MoveOn Political Action, said Tuesday that "just six weeks out from the election, the Trump administration continues to kick working Americans while they’re down."
"It is sickening and unacceptable for this administration to boot 750,000 Americans off their healthcare instead of focusing on lowering costs and ending the war in Iran," said Payne. "The American people and MoveOn members won't forget this betrayal when polls open in November."
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Vance Fraud Task Force Condemned as ‘Smokescreen’ for Booting 700,000 More People Off Healthcare
"This so-called task force is nothing more than a bullshit distraction."
Sep 22, 2026
The Trump administration is planning to boot more than 700,000 people from their Affordable Care Act coverage as part of a purported initiative to root out fraud in the program—an effort that campaigners said is nothing more than a pretext to kick more people off healthcare.
Vice President JD Vance, who is leading the White House's "Task Force to Eliminate Fraud," announced the planned ACA purge during a press conference on Tuesday alongside Centers for Medicare and Medicaid Services Administrator Mehmet Oz, whose agency has touted a right-wing think tank's dubious claim that millions of ACA enrollees are on the program improperly.
Vance insisted during Tuesday's press conference that the administration is putting itself "under an extraordinary burden of proof" to ensure its mass removal doesn't impact people who are eligible for ACA coverage, but advocates were not convinced.
"Vance's task force is a smokescreen for kicking people off coverage," declared the advocacy group Protect Our Care. The organization's president, Brad Woodhouse, said in a statement that Vance's task force "is nothing more than a bullshit distraction—a political stunt designed to throw even more people off their coverage while pretending to save taxpayers’ money."
"At a time when millions of Americans are already losing coverage and facing skyrocketing costs, Vance and this administration are making the crisis exponentially worse," said Woodhouse. "They are piling on more red tape, more confusion, and more opportunities for people to lose the coverage they rely on. Families need coverage they can afford and count on when they get sick. Vance’s task force won’t accomplish that. It’s a smokescreen for an administration whose sole mission is to make it harder to get and stay covered but to shower billionaires with tax breaks instead."
Millions of people have lost ACA and Medicaid coverage since the start of President Donald Trump's second White House term, due in large part to a Republican budget law that cut Medicaid by more than $800 billion and did nothing to extend enhanced ACA subsidies, sending premiums soaring.
Trump administration officials have baselessly claimed that their anti-fraud efforts were the key driver of ACA enrollment declines this year.
The word ‘fraud’ here obscures a lot.
Many of them may have been accidentally committing ‘fraud’ bc they live in a state that didn’t expand Medicaid and earn too little to qualify for ACA subsidies. There have been cases of brokers signing those folks up for the commission. pic.twitter.com/ek8gaVzJ7g
— Jordan Weissmann (@JHWeissmann) September 22, 2026
The mass disenrollment push comes less than two weeks after the Trump administration said it would send $500 rebate checks to some Americans who were allegedly "overcharged" under the ACA. Critics noted that the checks would only go to a small sliver of ACA enrollees and would do virtually nothing to offset premium hikes that are hitting millions of Americans.
Vance indicated Tuesday that the roughly 750,000 individuals who will soon be removed from the ACA due to alleged fraud are just the start of a broader purge. Around 19 million people are currently enrolled in ACA marketplace coverage.
"We're gonna do some additional verification," said Vance, who suggested the administration is using artificial intelligence tools to identify purported fraud. "We expect that most of these people are fraudulently enrolled, but we're gonna do some additional verification on about 419,000 people."
Democrats on the House Energy and Commerce Committee, which has jurisdiction over the ACA, wrote Tuesday that "people losing healthcare isn't a bug, it's [Trump and the GOP's] plan."
"First Republicans stripped Medicaid from millions," the Democrats wrote on social media. "Then they let premiums spike for millions more. Now JD Vance is using claims of 'fraud' to take coverage from hundreds of thousands more."
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Trump's $500 Healthcare Rebate Plan Called 'An Absolute Joke' as Premiums Skyrocket
"At a time when people are scraping by to keep up with the high cost of groceries, rent, and healthcare, this $500 gimmick won’t even begin to dig them out of the hole that Trump and Republicans created."
Sep 11, 2026
President Donald Trump said Thursday that his administration would issue $500 rebate checks to some Americans who were purportedly "overcharged" under the Affordable Care Act, a move that would provide little to no relief to the millions of people impacted by surging health insurance premiums.
The White House said in a fact sheet that around a million Americans in 30 states would receive rebate checks, beginning next month—just weeks before the November midterms. Brad Woodhouse, president of the advocacy group Protect Our Care, ripped the rebate plan as "an absolute joke," calling $500 "a drop in the bucket compared to what Americans are paying because Trump and Republicans gutted healthcare to bankroll massive tax breaks for billionaires and big corporations."
Woodhouse was referring to a Republican budget measure, signed into law last summer by Trump, that enacted more than $800 billion in cuts to Medicaid over the next decade.
The GOP also declined last year to extend enhanced ACA subsidies that helped reduce costs for tens of millions of Americans, sending premiums skyrocketing. Some families have seen annual premium increases in the thousands of dollars, leading many to drop marketplace coverage entirely. ACA premiums are set to surge by double digits for a second consecutive year in 2027.
"At a time when people are scraping by to keep up with the high cost of groceries, rent, and healthcare, this $500 gimmick won’t even begin to dig them out of the hole that Trump and Republicans created," said Woodhouse.
The White House said ACA enrollees who "do not receive premium assistance" and who live in states that "use the federal exchange for the operations of their Obamacare markets" would be eligible for a rebate check, meaning the payments would disproportionately benefit enrollees with higher incomes in red states.
"The vast majority of ACA enrollees won't get $500 from the Trump administration, including: those who still get premium subsidies, though what they're paying has gone up a lot with expiration of enhanced tax credits. And, those in mostly blue states that run their own exchanges," noted Larry Levitt, executive vice president for health policy at KFF. "There are 19.2 million ACA enrollees. The Trump administration is talking about sending $500 rebate checks to fewer than one million of them."
Policy experts disputed the Trump administration's claim that Americans were "overcharged" due to the Biden administration's "gross mismanagement" of the ACA. As The Associated Press reported:
Cynthia Cox, a vice president and director of the ACA program at the healthcare research nonprofit KFF, said it’s entirely possible that the funds Trump has promised came from fees collected during Trump’s first term. His first administration collected more user fees from insurers than it spent, resulting in an estimated $1 billion in unspent funds, according to KFF analysis.
It is unclear whether the $500 rebate represents what each enrollee may have overpaid, where the money for the rebates would come from, and whether it requires congressional approval for disbursement.
The White House's rebate check pledge came as Trump also vowed to send $5,000 to every American adult if Republicans retain control of the House and Senate in the November midterms, a promise that was widely derided.
"The 'Trump dividends' scam is just Trump’s latest attempt to distract the country from the Republican affordability crisis," said Rep. Don Beyer (D-Va.). "Trump promised he would lower prices, and instead he keeps mashing the 'make stuff more expensive button.' The American people will not be fooled."
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Analysis Finds Up to 10 Million People Have Lost Healthcare Coverage During Trump's Second Term
"Over half the provisions of the Big Ugly Bill have already gone into effect, and the negative results are already devastating."
Sep 03, 2026
Independent healthcare analyst Charles Gaba on Thursday published a detailed report estimating that up to 10 million people living in the US have lost their healthcare coverage since the start of President Donald Trump's second term.
In his analysis, Gaba brought together the most recent enrollment data for Medicaid, the Children's Health Insurance Program (CHIP), Medicare, and the Affordable Care Act (ACA).
Breaking things down by program, Gaba estimated there are 5.9 million fewer people enrolled in Medicaid and CHIP, as well as at least 4.5 million fewer people enrolled in the ACA, since Trump returned to power in January 2025.
These losses in coverage are somewhat mitigated by Medicare, whose enrollment has increased by around 1.6 million people during Trump's second term.
Losing access to these programs doesn't mean that the people were on them have gotten well paying jobs and are receiving insurance from their employer, Gaba wrote. Given that the unemployment rate has risen during Trump's second term, Gaba suggested it is highly unlikely that there are now more people who get employer-sponsored coverage now than in January 2025.
Depending on a number of variables, Gaba concluded, somewhere between 8.8 million to 10.3 million fewer people now have healthcare coverage.
Adjusting for population growth, Gaba added, "you get a grand total of between 10.27 million and 11.75 million more Americans not enrolled in a public healthcare coverage program as of May 2026 than in were as of January 2025."
The healthcare analyst noted that "this isn't quite the same thing as counting how many lost coverage, but not having healthcare sucks regardless of how you slice it."
He also pointed out that the lost in healthcare coverage all came before the Medicaid work requirements from the GOP's 2025 budget law are put into effect.
"Over half the provisions of the Big Ugly Bill have already gone into effect," wrote Gaba, "and the negative results are already devastating."
Gaba's analysis was published just days after the Georgetown University Center for Children and Families released a report estimating that nearly 2.5 million children in the US have lost access to Medicaid or CHIP during Trump's second term.
Trump and congressional Republicans have taken a number of actions that have made healthcare less affordable.
First, they cut spending on Medicaid by an estimated $900 billion over a 10-year period when they enacted the One Big Beautiful Bill Act in 2025. The Congressional Budget Office projects these cuts will leave more than 10 million fewer people enrolled in the program by 2034.
GOP lawmakers last year also refused to extend enhanced subsidies for insurance plans purchased through the ACA, even as insurers raised premiums on those plans by an average of 26% this year, according to an analysis published by KFF.
According to Wednesday reporting by Politico, hospitals are sounding the alarm about new regulations being proposed by the Centers for Medicare and Medicaid Services that they say would cost hundreds of billions of dollars in lost revenue.
"If the rules are finalized and they lose hundreds of billions on top of Congress’ funding cuts," Politico reported, "hospitals say they’ll be forced to reduce services, lay off workers, consolidate operations or shutter entirely."
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Trump-Backed Darline Graham Bashes 'Government-Run Healthcare,' Glorifies Working While Sick
“Government-provided healthcare is a bad idea. I’d rather Americans work long, hard hours, not receive sick leave, and die young," said one critic, "is one hell of a message.”
Aug 26, 2026
The precise point Republican US Sen. Darline Graham was making was unclear Tuesday evening when she attacked her Democratic opponent, Dr. Annie Andrews, for supporting what Graham called "government-run healthcare" and then pivoted to the story of her parents' early deaths.
But some observers wondered whether the lawmaker from South Carolina, who took over the Senate seat of her brother, the late Sen. Lindsey Graham, last month, was arguing for the continuation of a system in which many Americans can't get the healthcare they need.
Graham, who has worked at the state workforce agency and the South Carolina Commission for the Blind, spoke after winning a special runoff election against US Rep. Ralph Norman (R-SC). She was endorsed by President Donald Trump and will now face Andrews, a pediatrician, in the November midterm election for a full Senate term.
Speaking to supporters, Graham criticized Andrews for supporting "bad idea after bad idea," including "government-run healthcare." Andrews has spoken out against the Republican Party's cuts to Medicaid and Affordable Care Act (ACA) subsidies. Her website states support for "policies like a public option that expand access to affordable healthcare for all South Carolinians."
Graham said she has "a different background and vision for our state," describing her childhood growing up "in one room in central South Carolina" before explaining her parents' personal experience with healthcare and working "long, hard hours to make ends meet."
Darline Graham: Government run health care…. bad idea after bad idea. Annie Andrews backs it all. I have a different background. My parents worked long, hard hours. If that were sick, they had to get up and go to work. My mother passed away when I was 11 and my father just over… pic.twitter.com/fvFCrmudhi
— Acyn (@Acyn) August 26, 2026
"We didn't take vacations," she said. "If they were sick, they had to get up and go to work, because if the doors weren't open, we weren't making money."
She then added, "My mother passed away when I was 11, and my father just over a year later," before saying she has "worked hard for the people of South Carolina" and understands "the struggles facing South Carolina families because I've faced them too."
Andrews responded on social media that Graham's "family suffered and died without healthcare and apparently [she] thinks yours should too.
"Call me crazy, but as a doctor, I believe there are few responsibilities more fundamental to government than keeping its citizens healthy and safe," she said. "No family should have to suffer simply because generations before them did."
Other observers were perplexed about the message embedded in Graham's story.
“'Government-provided healthcare is a bad idea. I’d rather Americans work long, hard hours, not receive sick leave, and die young' is one hell of a message," said journalist Ahmed Baba.
A "straightforward reading" of Graham's statement, said Matthew Sitman of the podcast Know Your Enemy, would point to a proposal that "more parents of 11-year-olds die."
Graham's official website does not appear to outline any healthcare proposal. The senator said this week that voters she has met around the state are "talking about the rising cost of healthcare and affordability," but declined to name legislation or describe any proposals for tackling the issues.
The healthcare advocacy group Protect Our Care found last week that the Republican Party's $900 billion in cuts to Medicaid and its decision to slash ACA subsidies have left 8 million people across the country without health coverage so far, affecting Americans in all 50 states.
In South Carolina, Protect Our Care said, 235,000 people have lost their ACA subsidies or coverage under Medicaid or the Children's Health Insurance Program. Premiums have doubled for more than 587,000 South Carolinians in the past year, while 14 hospitals, clinics, and nursing homes have been forced to shut down or are on the verge of closing due to the healthcare cuts.
Healthcare facilities in the state are facing a $1.5 billion loss in funding and have seen a 26.9% spike in care that they are providing without reimbursement from Medicaid or other public programs.
"South Carolinians are dropping coverage they can no longer afford, delaying care, rationing medications, and living with the constant fear that an emergency could push them deeper into debt," said Protect Our Care.
Writer and engineer Hayden Clarkin suggested voters in the state may not be convinced by a "healthcare proposal" that appeared to amount to, "If you’re sick, you have to get up and work."
A 2020 poll by Data for Progress on behalf of the advocacy group Medicare for All NOW found that 77% of Democratic voters in South Carolina supported "expanding Medicare so that it becomes the primary insurer for all Americans."
Rep. Maxwell Frost (D-Fla.) noted that should Graham win a full Senate term, she will benefit from the "government-provided healthcare" she had attacked as a "bad idea."
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'Eight Million Americans Have Lost Their Healthcare': Trump-GOP Cuts Wreak Havoc in All 50 States
New fact sheets detail how people in every US state are suffering from the Republican Party's assault on Medicaid and the Affordable Care Act.
Aug 18, 2026
The unprecedented healthcare cuts that President Donald Trump and the Republican Party enacted last summer have impacted people in all 50 US states, stripping insurance coverage from around 8 million Americans total and wreaking havoc on hospitals and other providers nationwide.
The advocacy group Protect Our Care on Tuesday released state-by-state fact sheets detailing how many people have lost Medicaid, Children's Health Insurance Program (CHIP), and Affordable Care Act coverage due to Republican policy decisions, including the party's roughly $900 billion in cuts to Medicaid and decision to let enhanced ACA subsidies expire, sending premiums skyrocketing.
“Eight million Americans have lost their health care because Donald Trump and Republicans decided they would rather hand out tax breaks to billionaires than protect working families," said Brad Woodhouse, the president of Protect Our Care. "Every day that healthcare becomes more expensive, a family is forced to make an impossible choice between putting food on the table and staying covered, a senior is forced to ration their medication, and an expectant mother has to travel farther to access maternity care."
In Maine, where Democrats are looking to finally unseat vulnerable Sen. Susan Collins, more than 18,700 people have lost Medicaid, CHIP, or ACA coverage under the Republican budget law. Included in that total are the more than 7,500 Mainers who dropped ACA marketplace coverage after premiums soared due to the lapse of enhanced subsidies at the end of 2025.
Collins voted to advance GOP budget legislation that included the devastating Medicaid cuts, but voted against final passage.
Protect Our Care noted that "Maine hospitals and clinics are facing a $38 million loss in funding and a 6.7% spike in uncompensated care demand that will affect their ability to keep their doors open."
"As of August 2026, 20 Maine healthcare providers are at-risk, announced cuts, are closing, or have closed," the group added.
More than 25,600 Alaskans have lost health coverage under the Republican budget law and premiums have surged by an average of 346% this year, according to Protect Our Care's fact sheets.
US Sen. Dan Sullivan (R-Alaska), who along with Collins is seen as one of the most vulnerable Republicans this election cycle, voted for the more than $900 billion in Medicaid cuts.
"From Alaska to Florida, these people are our neighbors, our parents, our kids, and they’re sick of paying the price for Republicans’ greed," Woodhouse said on Tuesday. "They deserve better, and in November they will demand it at the ballot box.”
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Doctors Like El-Sayed and Me Agree: It's Time for Medicare for All
Polls of physicians consistently show majority support for universal programs like Medicare for All—support that is only growing among younger doctors and those working in corporate-style health systems.
Aug 14, 2026
It’s time.
It’s time for Americans to finally have healthcare that’s compassionate and effective.
When I became a doctor 44 years ago I volunteered at a free clinic for patients without health insurance. I remember our clientele: a substitute teacher, a self-employed plumber, and other working people who weren’t offered coverage by an employer and couldn’t afford it on their own.
These weren’t freeloaders. They were neighbors, family members, and friends who earned too much to qualify for Medicaid, but still didn’t have health coverage through their jobs.
During his run for the US Senate, Dr. El-Sayed has been an enthusiastic supporter of Medicare for All, which would provide better care for everybody.
I wondered then, “Why should our ability to have health insurance depend on where we work?” I never got an answer.
Decades later, when the Affordable Care Act (ACA) passed, our clinic’s clientele changed dramatically. Gone were the self-employed or under-employed patients; they had gained coverage through ACA plans. Until now. This year, ACA premiums are going up 50% or more, which means many people are disenrolling. I’ll be seeing these folks in the free clinic again.
Our healthcare system is broken. We have poorer health outcomes than in other “less fortunate” countries, meaning our people are dying earlier and suffering more. Meanwhile, trying to navigate our hundreds of health plans is a nightmare for doctors, as each plan has its own rules for preauthorizations, deductibles, and copays. Patients are also unhappy with these restrictions, no matter what kind of coverage they have.
Thankfully, there is one exception: Medicare. This longstanding program covers medical care for seniors and people with disabilities, and it works. Even those who favor smaller government agree, “Don’t touch my Medicare!”
I’ve seen the benefits. In my later years I worked as a nursing home doctor, caring for patients who were rehabilitating from a stroke or surgery before they could safely return home. Medicare covered 100% of the cost for up to 21 days and 80% for another three months, as long as the need and attempts at progress were shown.
What if everybody in our country had high-quality coverage through an even better version of traditional Medicare? What if we had improved Medicare for All?
This is the program proposed by Abdul El-Sayed, who trained as a physician, led the health departments in Detroit and Wayne County, and no doubt shares my experiences with our broken healthcare system. Polls of physicians consistently show majority support for universal programs like Medicare for All—support that is only growing among younger doctors and those working in corporate-style health systems.
During his run for the US Senate, Dr. El-Sayed has been an enthusiastic supporter of Medicare for All, which would provide better care for everybody.
Under our current system, millions of uninsured people hold off on getting care until they have an emergency, simply because they can’t afford it. By then, problems that could have been prevented or treated easily become very dangerous and expensive.
Under Medicare for All, a strong focus on primary care would encourage preventive measures and early diagnoses. This would give us an opportunity to reduce the extremely high cost of managing diseases that, too often, haven’t been addressed over a lifetime of inadequate care.
Medicare for All would also make improvements to the existing program such as eliminating out-of-pocket costs; negotiating lower drug prices across the board; and adding long overdue coverage such as vision, dental, hearing, and long-term care. All this while maintaining the best features of Medicare like guaranteed coverage and free choice of medical provider.
It’s time to make our healthcare system work effectively for everybody. It’s time—it’s past time—for Medicare for All.
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Hospitals See Massive Surge in Uninsured Patients After GOP's Healthcare Cuts
"We’re really crushing people who are desperately trying to pay their bills," said a chief executive at a nonprofit hospital group.
Jul 30, 2026
Months after congressional Republicans refused to extend enhanced subsidies for Americans who receive their health insurance through the Affordable Care Act, hospitals across the US are seeing a surge in uninsured patients seeking emergency medical care.
According to a Thursday report in The New York Times, executives at large hospital systems have been raising alarms over "the unexpectedly sharp rise in uninsured patients and the costs associated with treating them."
With many uninsured patients unable to pay their hospital bills, the Times noted, hospitals are seeing "lost revenues amounting to hundreds of millions of dollars across the country's vast health systems."
The Times linked this surge in uninsured patients directly to the Republican-controlled Congress allowing more generous subsidies for plans purchased through the ACA to lapse at the end of 2025. Enrollment in the program has fallen by about 3 million people since last year.
"What that tells me is that there are patients who are completely unable to pay," Laura Kaiser, chief executive of Catholic nonprofit hospital group SSM Health, told the Times. "We’re really crushing people who are desperately trying to pay their bills."
Executives at Universal Health Services (UHS), a for-profit hospital operator, said during an earnings call on Tuesday that the losses they expect to incur from treating uninsured patients have been significantly higher than their initial projects.
As reported by Healthcare Dive on Wednesday, UHS had initially projected that some patients who dropped their coverage provided by the ACA would find another way to get health insurance.
However, UHS CFO Steve Filton told investors that "it felt like virtually everyone who lost their exchange coverage became an uninsured patient."
UHS is hardly alone in suffering losses due to lapsed ACA subsidies, as Axios reported on Tuesday that HCA Healthcare, the largest for-profit hospital chain in the US, is projecting a $400 million hit to revenue that is tied partially to "an influx of uninsured patients."
HCA CEO Sam Hazen said the increase in uninsured patients was a direct consequence of the GOP's refusal to extend the ACA subsidies.
"The effects, as expected, were that many people became uninsured and still needed emergency care from hospitals," Hazen said. "As we look at the first half of the year, our expectations proved accurate, although the impact was greater than our estimates."
An increase in uninsured patients is bad both for hospitals' finances and patients themselves.
As KFF explained in a June report, people without insurance are more likely to avoid seeking medical treatment until their situation becomes too dire to ignore.
"People without health coverage are more likely to be hospitalized for avoidable health problems," KFF wrote, "and to experience declines in their overall health as a consequence of having undiagnosed conditions and a lower likelihood of receiving preventive and chronic disease management care. When they are hospitalized, uninsured people receive fewer diagnostic and therapeutic services and also have higher mortality rates than those with insurance."
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