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healthcare
'A Deliberate Choice' by Trump's GOP: Health Insurance Premiums Set to Rise by Double-Digits Again
"Every day the consequences of GOP healthcare cuts get worse," said one campaigner.
Jul 08, 2026
Health insurance companies that offer plans on the Affordable Care Act marketplace are proposing double-digit premium increases for 2027, signaling the second consecutive year of out-of-pocket cost hikes following President Donald Trump and congressional Republicans' refusal to extend enhanced subsidies that lapsed last December.
The health policy research group KFF and the Peterson Center on Healthcare released an analysis on Wednesday showing that ACA marketplace insurers "are proposing a median premium increase of about 14% in 2027." While that would represent a decrease compared to the median finalized premium increase of 20% for 2026, it marks "the second-highest requested rate change since 2018, as premium growth had been relatively flat in this market for several years," the analysis notes.
"If these early indications of median premium increases for 2027 hold, typical premiums for insurers participating in the ACA marketplaces will have jumped by more than one-third over a two-year period," KFF and the Peterson Center found, pointing to the significance of Trump and the GOP's deciseion to oppose an extension of enhanced ACA premiums that were established in 2021 during the Biden administration.
KFF and the Peterson Center explain:
As anticipated, many healthier enrollees left the ACA Marketplaces in 2026 as their subsidies decreased—leading to an average increase in premium payments after subsidies of 58% this year—leaving behind an enrollee base that is on average somewhat sicker and more expensive to cover. For 2026, this dynamic was estimated to drive rates an average of four percentage points higher than they otherwise would have been, and insurers are now building 2027 rates on top of that adjusted, less-healthy risk pool—compounding the effect into next year’s premiums as well.
Leslie Dach, chair of the advocacy group Protect Our Care, said in a statement Wednesday that the analysis underscores "just the latest hit on hard-working families struggling to get by after Republicans ripped away the tax credits that helped millions of Americans afford coverage."
"Every day the consequences of GOP healthcare cuts get worse," said Dach. "This was a deliberate choice by Republicans who took away affordable coverage from millions of people to help fund tax breaks for billionaires and big corporations. The damage is already being felt at kitchen tables across America, and these new premium hikes show the worst is still ahead. And Republicans will pay the political price. Healthcare is already the driving issue leading up to the elections, and as the consequences mount, it will only mobilize voters further.”
Since the start of President Donald Trump's second White House term, ACA enrollment has declined by more than 5 million people as a growing number of Americans are priced out of coverage by surging premiums.
For 2027, at least 20 insurers across states that have submitted rate filings so far have proposed premium increases exceeding 20%, according to the KFF-Peterson Center analysis.
Kendall Witmer, the Democratic National Committee's rapid response director, said in a statement Wednesday that "healthcare is unaffordable for millions of Americans because Donald Trump and Republicans sold them out to give billionaires even bigger tax cuts."
"Working families are already grappling with sky-high prices for groceries and gas, and growing medical bills are putting them over the edge," said Witmer. "Healthcare for Americans has never been more expensive—and Trump and Republicans are squarely to blame."
Leor Tal, campaign director for the advocacy group Unrig Our Ecnomy, echoed those arguments and called for GOP lawmakers, who still control the House and the Senate, to act.
“Millions have already lost access to health insurance, and these planned premium hikes will only escalate this crisis," said Tal.
"We need Republicans in Congress to restore the health care tax credits they took away from millions. Otherwise, when their premiums rise again, Americans will know who is at fault.”
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In Viral Video, Journalist Ronan Farrow Explains How Private Equity Is Destroying Hospitals
"These deals produce harm reliably enough that researchers can now count it."
Jul 08, 2026
Investigative journalist Ronan Farrow on Tuesday published a video on social media where he examines how private equity firms have been buying up hospitals throughout the US and saddling them with enormous debt burdens.
At the start of the video, Farrow notes that private equity firms such as The Carlyle Group, Cerberus, and Pinta have acquired hundreds of hospitals and nursing homes over the last 20 years.
"The pitch is generally: Infuse capital, cut inefficiency, and exit in five to seven years," Farrow explains. "And the deals work like this: A private equity firm puts some of its own money and borrows the rest. Typically, it'll borrow more than 70% of the purchase price."
"The twist is that debt doesn't sit on the firm's books," Farrow continues. "It gets placed on the facility itself, so the hospital or nursing home now carries the debt and the interest on it."
Studies now present a striking picture of what happens when private equity firms acquire hospitals and nursing homes: predictable increases in harm and deaths. One landmark study shows: patient deaths up about 11% after such acquisitions. pic.twitter.com/N6yfXJQIwW
— Ronan Farrow (@RonanFarrow) July 7, 2026
Farrow then cites research published by The Review of Financial Studies in 2023, which found healthcare facilities saw their interest payments more than triple after being acquired by private equity firms.
"In many cases," Farrow says, "private equity firms sold the nursing home's building shortly after acquiring it, returning the proceeds to investors, and then charging the facility rent on the building it used to own."
In addition to added debt burdens placed on hospitals and nursing homes, Farrow adds, the 2023 study found that private equity firms also cut staff hours after acquiring facilities, which has hurt patient care.
"The authors... found that private equity ownership can increase patient mortality by up to 11%," he says. "Over the study period, that translated to more than 20,000 lives lost."
Farrow then points to a 2025 study that found salaries of emergency room workers fall by an average of 18% in hospitals acquired by private equity firms, while hospital-acquired infections and complications rose by 25%.
Farrow concedes that not all private-equity deals turn out poorly and that some of the facilities are already in distress before being acquired.
However, he warns that "these deals produce harm reliably enough that researchers can now count it," adding that "so far, the industry has moved faster than the rules."
Research published Monday by the Private Equity Stakeholder Project (PESP) warned that private equity firms have been increasingly relying on nonprofit joint ventures to expand their reach throughout the US healthcare industry and "siphon profits from health systems and critical healthcare infrastructure."
"Private equity's healthcare playbook is evolving,” said Jim Baker, executive director of PESP. “Our research documents how private equity has increasingly relied on joint ventures with nonprofits to expand its presence in healthcare. These arrangements have received far less attention than traditional private equity buyouts, even as they become more common across hospitals and other healthcare sectors."
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Refuting Trump Claims of Fraud, Analysis Shows Millions Dropped Health Insurance Due to GOP Cuts
"They didn’t cheat their way in. They simply can’t afford to stay in the program."
Jul 07, 2026
President Donald Trump's administration has tried spinning government data showing millions of people have dropped their health insurance coverage under the Affordable Care Act by claiming these people were defrauding the program.
However, an analysis published Tuesday by Public Citizen refutes this claim, finding that most people who lost their ACA coverage did so because they could not afford to keep it after congressional Republicans let enhanced health insurance subsidies expire last year.
Data released last month showed that nationwide ACA enrollment fell from 22.3 million people in 2025 to just 17.5 million in 2026, a drop of nearly five million people over the span of just a year.
US Health and Human Services Director Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services Administrator Mehmet Oz have both said this drop is due to the administration's efforts to root out fraud, with Oz even saying that current enrollment in the program is at "too high of a number."
The Public Citizen report, however, finds that "the decline in... enrollment this year has nothing to do with removing deceitful enrollees," as what "the numbers show is that American families are being priced out of coverage."
According to Public Citizen's analysis, the best way for a fraudster to game the system created by the ACA would be to falsely claim to have an income right around the poverty line, which would ensure the fraudulent enrollee would get a higher subsidy to purchase coverage.
In other words, if the administration were really pursuing fraud on a mass scale, it would likely mean a drop in enrollees who are claiming incomes near the poverty line.
"But that’s not what is happening," the report explains. "The people losing coverage are concentrated at incomes well above the poverty line. They are low- and middle-income families whose premiums doubled after subsidies were cut. They didn’t cheat their way in. They simply can’t afford to stay in the program."
In fact, the report finds that enrollment is actually growing among people who claim income right at the poverty line, which could suggest there is more prospective fraud in the program than before.
However, the report authors do not think that this increase is due to fraud, but rather to "people living just below the poverty line in states that refused to expand Medicaid" and whose income is not low enough to qualify for Medicaid, but too high to qualify for ACA subsidies.
"To escape the coverage gap, some have reported incomes just above the poverty line," states the report, "enough to be eligible for the ACA marketplace."
The ACA isn't the only federal healthcare program under pressure from Trump administration and GOP policies, as cuts to Medicaid included in Republicans' 2025 budget law are projected by the Congressional Budget Office to leave more than 10 million fewer people enrolled in the program by 2034.
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