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"Working families simply can't afford to pay more money for worse care. We need to extend ACA tax credits to lower costs."
With millions of Americans facing health insurance premium hikes and Affordable Care Act tax credits expiring at midnight, critics, including congressional Democrats, called out Republicans on Capitol Hill for kicking off 2026 with a nationwide healthcare crisis.
"When the clock strikes midnight, the fallout of the GOP's premium hikes will ripple throughout the nation," Protect Our Care chair Leslie Dach said in a Wednesday statement. "This new year brings a healthcare catastrophe unlike anything this nation has ever seen. Hardworking Americans will be sent into crippling medical debt, emptying out their savings just to see a doctor. Others will be forced to live without the life-saving coverage they need. Untold tens of thousands will die from preventable causes."
"And hundreds of hospitals, nursing homes, and maternity wards will shutter or be at risk of disappearing out of thin air," Dach warned. "When the American people go to the ballot box in November, they won't forget who's responsible for all of this chaos and carnage. They won't forget who's responsible for their skimpier coverage, sky-high premiums, and vanishing hospitals."
Republican lawmakers declined to extend ACA subsidies in their so-called One Big Beautiful Bill Act (OBBBA), which is also expected to slash an estimated $1 trillion in Medicaid spending over the next decade, leading to health clinic closures, while giving more tax breaks to the ultrawealthy. Even the longest federal government shutdown in history—which a handful of moderate Senate Democrats ultimately ended without any real concessions—couldn't convince the GOP to extend the expiring tax credits.
Senate Minority Leader Chuck Schumer (D-NY), who has faced calls to step down over his handling of both shutdowns this year, stressed in a Wednesday statement that the healthcare crisis beginning Thursday "was entirely preventable—caused by Republican obstruction and total inaction."
"Millions of Americans will lose their healthcare, and millions more will see their costs spike by thousands of dollars," he continued. "Millions of hardworking families, small business owners and employees, older Americans, and farmers and ranchers will face impossible choices."
Specifically, about 22 million people who receive subsidies face higher premiums next year, and experts warn nearly 5 million people could become uninsured if the tax credits aren't extended. That's on top of the at least 10 million people expected to lose Medicaid coverage over the next decade, thanks to the OBBBA that President Donald Trump signed into law this summer.
Noting that the expiring subsidies are set to leave millions of Americans without health insurance, House Minority Leader Hakeem Jeffries (D-NY) declared on social media Wednesday, "Republicans don't give a damn."
The Chicago Tribune on Wednesday shared the story of Eleanor Walsh, of St. John, Indiana. She and her husband, who are both self-employed, paid around $9,100 for health insurance this year. In 2026, it will increase to $23,400. To save money, they are going with another plan, which has a $10,130 deductible for each of them, she told the newspaper.
"We're going through every expense we have," said Walsh, whose family has over $10,000 in medical debt from her husband's recent open-heart surgery. "It's going to be a rough year."
In Alta, Wyoming, Stacy Newton and her husband similarly run small businesses and buy health insurance through the ACA marketplace. She was diagnosed with chronic leukemia last year. The cheapest option to cover the couple and their teenage kids next year includes a $3,573 monthly premium, or nearly $43,000 for the year, with a $21,200 deductible.
"It's terrifying... We're not rich, we're not poor. We're a standard, middle-class family, and somehow now I can't afford health insurance," Newton told the Washington Post. "If my leukemia acts up, I'm up a creek... I just don't have a solution yet."
"I just officially canceled my ACA marketplace insurance for 2026," she told the paper earlier this week. "How on Earth is this going to unfold for millions of people in America?"
While Americans are forced to make coverage decisions before open enrollment ends in mid-January, without any promise of the subsidies returning, Schumer signaled that Democrats are still fighting for a fix in Washington, DC.
"Senate Republicans had multiple chances to work with Democrats to stop premiums from skyrocketing—and every time, they blocked action," he said. "While Republicans chose to do nothing and ignore the pain families will feel starting tomorrow, Senate Democrats are fighting to lower costs, protect coverage, and make life more affordable—not harder—for American families."
Four Republicans in the House of Representatives have signed on to a discharge petition to force a January vote on Democratic legislation to extend the credits for three years. Roll Call reported Tuesday that "with the knowledge that a procedural vote on a similar bill was rejected in the Senate, a bipartisan group of senators is working on a compromise to extend the credits."
However, as the outlet also pointed out, Senate Majority Leader John Thune (R-SD) has called Democrats' three-year extension of the tax credits a "waste of money."
Sen. Chris Van Hollen (D-Md.)—one of the lawmakers who has used the current healthcare debate to renew demands for Medicare for All—took aim at Thune on social media Monday.
Other lawmakers have kept up the battle for universal healthcare this week. Sen. Jeff Merkley (D-Ore.) said Tuesday that "everyone in America—no matter what their ZIP code is—should have access to the quality healthcare they need, when they need it. That's why I'm fighting to put us on the path to Medicare for All."
Sen. Bernie Sanders (I-Vt.)—who reintroduced the Medicare for All Act in April with Democratic Reps. Pramila Jayapal (Wash.) and Debbie Dingell (Mich.)—highlighted Sunday that "millions of Americans remain at jobs they hate for one reason: the health insurance they receive."
"That's absurd," he said. "Universal healthcare will give Americans the freedom to choose the work they want without worrying about healthcare coverage. Another reason for Medicare for All."
Absent any real progress on the ACA, let alone Medicare for All, in DC, "at least a dozen states are working to shield people from soaring health insurance costs following Congress' failure to extend Obamacare subsidies for tens of millions of Americans," Politico reported Monday.
Elected officials are taking action in states including California, Colorado, Connecticut, Maryland, and New Mexico, the last of which is the only one so far to cover all expiring subsidies, according to the outlet.
"We can carry the cost for a little bit, but at some point, we will need Congress to act," said the speaker of New Mexico House of Representatives, Javier Martínez (D-11). "No state can withstand to plug in every single budget hole that the Trump administration leaves behind."
Senate Minority Leader Chuck Schumer said the missed deadline "just shows the Department of Justice, Donald Trump, and Pam Bondi are hell-bent on hiding the truth."
As the US Department of Justice announced it would miss Friday's legal deadline to hand Congress all files related to convicted sex offender Jeffrey Epstein, Democratic Rep. Ro Khanna vowed to prosecute any officials who obstruct the documents' disclosure.
Khanna (D-Calif.)—who along with Rep. Thomas Massie (R-Ky.) introduced the Epstein Files Transparency Act—told CBS News Friday that the DOJ "had months to prepare for this" and "must today offer a clear timeline for the full release."
"The key is they release the names of all the powerful men in question who abused underage girls or covered it up," he stressed. "They must provide a clear framework to the survivors and the nation by when we will have everything public."
In a video published Thursday, Khanna warned that "anyone who tampers with these documents or conceals documents or engages in excessive redactions will be prosecuted because of obstruction of justice."
"We will prosecute individuals regardless of whether they're the attorney general or a career or a political appointee," he said.
Khanna's remarks Friday followed Deputy US Attorney General Todd Blanche's admission during a Fox News interview that the DOJ would not hand over all the Epstein files by the December 19 deadline.
“I expect that we’re going to release more documents over the next couple of weeks, so today several hundred thousand and then over the next couple weeks, I expect several hundred thousand more,” Blanche said. “There’s a lot of eyes looking at these and we want to make sure that when we do produce the materials we are producing, that we are protecting every single victim.”
Last month, Congress passed and President Donald Trump signed the Epstein Files Transparency Act, which required the release of all relevant documents within 30 days. The legislation also empowered Attorney General Pam Bondi to redact large amounts of information that critics fear could include material that incriminates the president, who was once a close friend of the disgraced financier.
“So today is the 30 days," Blanche acknowledged, adding that the documents released Friday "will come in in all different forms, photographs and other materials associated with... all of the investigations" into Epstein—who faced a federal sex trafficking case at the time of his death.
This, after House Oversight Committee Democrats on Thursday released a cache of about 70 photos from the Epstein estate.
Senate Minority Leader Chuck Schumer (D-NY) was among the lawmakers pressing Friday for the administration to meet the deadline for fully disclosing the Epstein files.
"The law Congress passed and President Trump signed was clear as can be—the Trump administration had 30 days to release ALL the Epstein files, not just some," Schumer said after Blanche's remarks. "Failing to do so is breaking the law. This just shows the Department of Justice, Donald Trump, and Pam Bondi are hell-bent on hiding the truth."
"We will not stop until the whole truth comes out," he added. "People want the truth and continue to demand the immediate release of all the Epstein files. This is nothing more than a cover up to protect Donald Trump from his ugly past."
Today, the Trump administration must release the FULL Epstein Files.No missing pages. No documents blurred out. No redactions to protect rich and powerful men.Survivors and the American people deserve answers and transparency. By law, Trump must provide them TODAY.
— Congresswoman Pramila Jayapal (@jayapal.house.gov) December 19, 2025 at 7:29 AM
In a joint statement Friday, House Judiciary Committee Ranking Member Jamie Raskin (D-Md.) and House Oversight Committee Ranking Member Robert Garcia (D-Calif.) said that "Donald Trump and the Department of Justice are now violating federal law as they continue covering up the facts and the evidence about Jeffrey Epstein's decadeslong, billion-dollar, international sex trafficking ring."
"For months, Pam Bondi has denied survivors the transparency and accountability they have demanded and deserve and has defied the Oversight Committee’s subpoena," the lawmakers continued. "The Department of Justice is now making clear it intends to defy Congress itself, even as it gives star treatment to Epstein's convicted co-conspirator, Ghislaine Maxwell.
"We are now examining all legal options in the face of this violation of federal law," they added. "The survivors of this nightmare deserve justice, the co-conspirators must be held accountable, and the American people deserve complete transparency from DOJ.”
Rep. Ayanna Pressley (D-Mass.) said Friday on X: "Congress mandated that Trump's DOJ release all the Epstein files by TODAY. They must comply. Survivors have waited far too long for the accountability they deserve."
Massie said Thursday that "victims' lawyers have been in contact with me, and collectively, they know there are at least 20 names of men who are accused of sex crimes in the possession of the FBI."
“If we get a large production on December 19, and it does not contain a single name of any male who is accused of a sex crime or sex trafficking or rape or any of these things, then we know they haven’t produced all the documents,” Massie added. “It’s that simple.”
"Time's up," Massie said Friday on X. "Release the files."
Echoing the lawmakers' calls, Cavan Kharrazian, senior policy adviser at the advocacy group Demand Progress, said Friday: “Failing to release all of the Epstein files today is a violation of the law. We’re talking about a legal mandate for the Department of Justice, not a student submitting a late assignment."
"They have had 30 days to prepare for today, and many months more if you include all the time the DOJ claimed it was working towards the same goal," he continued. "Promises to release more files ‘over the next couple of weeks’ are unacceptable, and alarmingly suggest the public will only see a fraction of them today."
"Jeffrey Epstein ran a sex trafficking network that harmed women, including minors, and included some of the wealthiest and most powerful people in the world," Kharrazian added. "The stakes are too high to play political games. The survivors of Epstein’s crimes, the families of his victims, and the American people are legally owed answers. The cover-up must end.”
A survey this week showed the congresswoman leading the vice president 51-49 in a hypothetical presidential matchup.
Rep. Alexandria Ocasio-Cortez gave a cheeky reaction after a poll suggested that she'd slightly edge out Vice President JD Vance in a hypothetical presidential election in 2028.
The survey of over 1,500 registered voters, published Wednesday by The Argument/Verasight, showed Ocasio-Cortez (D-NY) leading Vance 51-49 and winning back several key voting demographics that propelled Trump's return to the White House last year.
As she walked out of the Capitol building Wednesday evening, the Bronx congresswoman was asked about the poll by Pablo Manríquez, the editor of Migrant Insider.
She responded to the question with a laugh: "These polls three years out, they are what they are. But, let the record show I would stomp him! I would stomp him!" she said before getting into her car.
Neither Ocasio-Cortez nor Vance has officially announced a presidential run. But Vance is considered by many to be a natural successor to President Donald Trump. The president and his allies have suggested he could run for an unconstitutional third term.
Ocasio-Cortez, meanwhile, is reportedly mulling either a presidential run or a bid to take down the increasingly unpopular Senate Minority Leader Chuck Schumer (D-NY).
More than two years out from a Democratic primary, Ocasio-Cortez is considered a likely choice to fill the progressive lane in 2028, with support for increasingly popular, affordability-focused policies, including Medicare for All.
However, despite her strong support among young voters, early polls show her behind California Gov. Gavin Newsom and former Vice President Kamala Harris for the Democratic nomination.
Wednesday's poll showed that in a hypothetical contest against Vance, Newsom had a 53% to 47% edge, a margin only slightly larger than Ocasio-Cortez's.