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"Republicans in Congress want to cut Americans' healthcare to pay for more war in Iran. Let that sink in."
"Republicans won't think twice about *literally* sacrificing you to get their way."
That's how Democrats on the US House Ways and Means Committee responded to Axios' Monday reporting on congressional Republicans considering more healthcare cuts to help fulfill President Donald Trump's request for $200 billion to continue partnering with Israel for an unconstitutional war on Iran—including a potential ground invasion.
Other critics said:
Michael Hardaway, a geopolitical strategist who has worked for top Democrats, argued that they "must convert this into a House AND Senate majority in November," noting that Republicans "took healthcare away from millions of Americans to pay for tax cuts for the 1%."
That was last year, when congressional Republicans and Trump used the budget reconciliation process to pass their so-called One Big Beautiful Bill Act. Between $1 trillion cuts to Medicaid over the next decade and failing to extend expiring Affordable Care Act (ACA) tax credits, the OBBBA is expected to strip healthcare coverage from up to 15 million Americans.
While the impacts of the OBBBA will play out over years, already, "in red states and blue states alike, Republican healthcare cuts are hitting communities like a wrecking ball," Senate Finance Committee Ranking Member Ron Wyden (D-Ore.) said last week, while releasing a related report with House Energy and Commerce Committee Ranking Member Frank Pallone Jr. (D-NJ).
Wyden and Pallone found that over half of the people who reenrolled in an ACA plan this year have had to or plan to reduce spending on other essentials; at least 19 health facilities have closed across 11 states; and nearly 500 employees were laid off in four states because of the GOP's healthcare cuts last year.
"Despite attempts by Trump and his allies to cast blame elsewhere, the stories and facts are rolling in from across the country," Wyden said. "Democrats will not stop elevating the voices of Americans whose health is in harm's way as a result of Republicans' healthcare cuts."

One proposal that the GOP considered but ultimately did not include in the OBBBA related to ACA cost-sharing reductions. The Congressional Budget Office estimated that the specific policy considered last year would save $31 billion but leave 300,000 more Americans uninsured through 2034.
Reporting emerged last week that House Budget Committee Chair Jodey Arrington (R-Texas) wants to bring back the push for that policy. It quickly spurred criticism, with Sen. Elizabeth Warren (D-Mass.) saying: "Republicans in Congress want to cut Americans' healthcare to pay for more war in Iran. Let that sink in."
"Republicans ransacked $1 trillion from Medicaid, and then they more than doubled premiums for over 20 million Americans in order to fund tax breaks for billionaires and big corporations," Leslie Dach, chair of the advocacy group Protect Our Care, said in a statement last week. "Now, care for 15 million working Americans will be ripped away, nursing homes and hospitals are on the chopping block nationwide, and Americans are buried under skyrocketing healthcare hikes."
"But that's not enough for Republicans who have been at war with working families' healthcare for decades—now they want to slash healthcare even more to bankroll the war in the Middle East and to fund ICE, Trump's unaccountable, lawless paramilitary force," Dach continued, referring to US Immigration and Customs Enforcement. "The American people reject these Republican priorities and will make their voice known in November."
Axios reported Monday on Arrington's preferred timeline for a new budget package: "60 to 90 days," he said.
Arrington is also eyeing some potential changes to Medicare, which provides health insurance coverage to Americans age 65 and older, according to Axios:
As for Medicaid, one of the programs attacked by the OBBBA, Arrington told the outlet that there is hesitancy "to open that back up," but some policies considered in 2025 could be revived.
In a Monday statement, Democratic National Committee rapid response director Kendall Witmer called out Trump and Vice President JD Vance for past and possible future GOP healthcare cuts, accusing them of breaking their campaign promises.
"Donald Trump and Republicans already made the largest cuts to healthcare in history, causing healthcare costs to skyrocket for millions of Americans while billionaires and big corporations get massive tax cuts," Witmer said. "Now, Republicans want to slash even more healthcare funding for working families to pay for their war with Iran."
"After promising on the campaign trail to stop the endless wars, reduce the national debt, and lower costs," Witmer added, "Trump and JD Vance have done the opposite: putting everyday Americans on the chopping block to wage their deadly and costly war of choice."
A former Trump voter said that the cost of healthcare was driving her to support any party "that can help me afford to stay healthy."
While President Donald Trump's poll numbers have been sinking to second-term lows ever since his unconstitutional war on Iran sent gas prices soaring, pain at the pump isn't the only concern Americans face when it comes to affordability.
The New York Times reported on Tuesday that voters' anxiety on the cost of healthcare is once again on the rise, with insurance premiums spiking dramatically for tens of millions of Americans after Trump and his Republican congressional allies failed to extend enhanced subsidies for plans purchased through exchanges established by the Affordable Care Act (ACA).
Shawn Spencer, a 48-year-old Virginia resident, told the Times that while she voted for Trump in the 2024 presidential election, she'd be open to supporting any party "that can help me afford to stay healthy."
"Healthcare costs are out of control," emphasized Spencer. "I don’t have insurance, so I’m paying a boatload when I need care."
In addition to the increases to ACA premiums spurred by the lapsed subsidies, Republicans last year also slashed $1 trillion over the next decade from Medicaid as part of their One Big Beautiful Bill Act.
The Times noted that those cuts aren't expected to kick in until after the 2026 midterm elections, but they have already resulted in healthcare layoffs and hospital closures throughout the country, as some facilities are projecting they will not be able to stay afloat with reduced Medicaid reimbursements.
The Times pointed specifically Iowa's 3rd Congressional District, where "a healthcare company has closed clinics and laid off 67 staff members at a hospital in Des Moines, blaming the federal cuts for a projected $1.5 billion in annual revenue reductions."
Sarah Trone Garriott, a Lutheran minister and former hospital chaplain who is running in the district for the US House of Representatives against incumbent Rep. Zach Nunn (R-Iowa), has made the healthcare cuts central to her campaign message, mocking her rival for saying it's a "myth" that local hospital cuts are due to the GOP budget law.
Dr. Peter Reiter, who worked for decades at one of the shuttered clinics, was quoted in the Times blaming Nunn for its closure.
“Zach Nunn owns this,” Reiter said. “He needs to pay the price of accountability."
The Times report was flagged on Tuesday by Unrig Our Economy campaign director Leor Tal, who said it was yet more evidence that the GOP is out of touch with the needs of working-class Americans who are struggling to afford basic necessities.
"If Republicans spent half as much time focusing on lowering costs as they did giving handouts to billionaires, working Americans wouldn’t be so concerned about affording care," said Tal. "Congressional Republicans clearly aren’t prioritizing making life more affordable for their constituents. If they did, they wouldn’t have repeatedly voted to send their healthcare costs soaring and put millions at risk of losing insurance altogether."
New data released by KFF underscores how "universal, seamless coverage throughout the life course remains an urgent prerogative for the nation," said one physician and advocate.
About 24.3 million Americans were enrolled in healthcare plans within the Affordable Care Act marketplace last year, but a survey released Thursday by KFF found that about 1 in 10 of those people had no choice but to make a difficult and risky calculation at the end of 2025 when ACA subsidies expired due to Republicans' refusal to support an extension.
According to the research, 9% of people enrolled in plans under the marketplace last year are now uninsured, having dropped their coverage—and costs were a deciding factor for the vast majority of those who left the marketplace.
The expiration of the enhanced tax credits sent premiums skyrocketing by an average of 114%, according to KFF.
The decision was unavoidable for one 54-year-old man in Texas, who told KFF simply, "Without the subsidy, I cannot afford the premium payments.”
A 56-year-old woman in Illinois said her income was too high last year to qualify for subsidies, but the increase in cost this year was "so high even for those without subsidies."
"I simply cannot afford to pay $1,200 a month for insurance," she said. "It used to be high premiums meant low deductibles and copays, but not anymore. This is ridiculous. $1,200 for a healthy person, and an $8,000 deductible. Really?”
A Florida resident named Kelly Rose told The Wall Street Journal that the $1,700 monthly premium she was quoted for an ACA plan would have been more than her mortgage. She missed the enrollment window for health coverage through her job at a bank—assuming her ACA plan would cost less—and is now uninsured and relying on a Canadian pharmacy to get her asthma medication, which would cost $800 per month without insurance in the US.
Cynthia Cox, a senior vice president at KFF, told the Journal that the survey results were “about on target” what the health policy research group had expected last year when the subsidy expiration was looming and Democrats were demanding that the GOP vote with them to extend the tax credits.
“Not only is there significant coverage loss, but there could be more to come,” Cox said.
An estimated 25 million Americans are uninsured, said Harvard Medical School professor and former Physicians for a National Health Plan president Adam Gaffney—a fact he called "abhorrent" as he suggested the new data makes the latest case for "universal, seamless coverage throughout the life course," or an expansion of the Medicare program to the entire US population.
That proposal, which has been introduced in Congress numerous times by lawmakers including Sen. Bernie Sanders (I-Vt.) and Rep. Pramila Jayapal (D-Wash.), would put the US in line with the healthcare systems of other wealthy nations, improve healthcare outcomes, and save an estimated $650 billion per year.
A poll released late last year by Data for Progress found that 65% of likely US voters supported "creating a national health insurance program, sometimes called ‘Medicare for All,’ that would cover all Americans and replace most private health insurance plans."
The fact that millions of Americans have chosen to opt out of the country's for-profit health insurance system—putting their health and finances at risk—is representative of "a profound hollowing-out and weakening of America," said writer and markets researcher Ben Hunt.
The economic justice campaign Unrig Our Economy emphasized that Republicans' cuts to healthcare last year—via the expiration of the subsidies and slashes to Medicaid—put an estimated 15 million Americans at risk of losing health coverage.
“Republicans knew that healthcare tax credits were critical to helping millions of Americans afford their health insurance, but they chose to get rid of them to fund more tax breaks for their billionaire buddies,” said Unrig Our Economy campaign director Leor Tal. “Costs are higher, millions are without insurance, and working Americans are having to make sacrifices just to afford basic healthcare—and they know that Republicans are to blame. It’s time Republicans finally started listening to their constituents and fixing the healthcare crisis they created.”
KFF's polling also found that among people who still have health insurance under the ACA, higher premiums and deductibles have left a majority concerned that they wouldn't be able to afford emergency care even with their coverage. Nearly half of respondents said they were worried that even routine medical care will be unaffordable this year with their ACA plans.
Due to Republican attacks, the cost of coverage offered by the program is now forcing 55% of people using the ACA to cut back on spending money on food, household items, and clothing in order to afford it. Forty-three percent said they are trying to find another job or extra income to afford healthcare payments, and nearly a quarter said they are skipping or delaying payments on other bills to afford their health coverage.
More than half of people polled by KFF said they blame Republicans in Congress for their rising healthcare costs.
"Americans are blaming them because it’s true," said Unrig Our Economy. "Congressional Republicans’ massive cuts to health care have put a projected 15 million Americans at risk of losing health insurance and left millions more struggling to keep up with rising costs. Republicans made these cuts all so they could give more tax breaks to billionaires and corporations."