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There's still time to stop the madness, but lawmakers will not change directions without an outpouring of opposition.
The government shutdown ended with a failure to solve the problem of steeply rising health insurance premiums.
The GOP’s “Big Beautiful Bill,” which slashed programs like Medicaid and SNAP to fund tax cuts for the wealthy and a $1 trillion Pentagon, allows tax credits that reduce these health costs for ordinary people to expire at the end of this year.
As a result, millions of Americans who receive health insurance through the Affordable Care Act marketplace will see their health insurance premiums double (or worse). Democrats demanded a fix for the problem, but ultimately ended the shutdown without one.
But even in the midst of the shutdown, Senators were still busy. They approved a $32 billion increase for the Pentagon on a bipartisan basis, approving the increase by a vote of 77-20 as part of a larger bill, the National Defense Authorization Act.
Yet the same Senators couldn’t agree to extend those health care subsidies by even a single year to save millions of people from devastating premium increases. The price tag for a single year of extending the subsidies would be about $35 billion, according to the Congressional Budget Office — about the same as the Pentagon increase they just overwhelmingly approved.
Now millions of Americans are facing decisions about how — or even whether — to maintain their health insurance given the huge price increases they face. These expiring credits, along with the GOP’s Medicaid cuts and other changes, are expected to cause 17 million Americans to lose their coverage in the coming years.
Senators agreed to a vote on a possible solution for the expiring ACA credits, but there’s no such agreement in the House of Representatives, making any solution highly unlikely.
The Senate’s $32 billion increase comes on top of the previously passed $156 billion increase from the president’s Big Bad Bill. That already promised to push military spending over the $1 trillion mark — by a significant margin, the most we’ve ever spent on the Pentagon during peacetime.
The Senate’s additional $32 billion adds insult to injury. Much of that sum would go to shipbuilding and buying more F-35s, fighter jets which are considered outrageously expensive and often criticized as ineffective.
Along the way, the Senate also defeated amendments that would require military and law enforcement to display clear identification when conducting crowd control — and another that would have required congressional approval for domestic military deployments for law enforcement purposes after 30 days. (Trump’s National Guard deployments to American cities, by the way, have now cost taxpayers nearly $500 million.)
Apparently, even the lowest bars for accountability for Trump’s Pentagon were too high for lawmakers.
But it’s not over — the House and Senate still need to reconcile their Pentagon funding levels. While that will likely happen behind closed doors, members of Congress will still be receptive to calls from their constituents. It’s not too late to defeat that $32 billion.
And then we can get to work using that money to save health care subsidies and keep millions of Americans from losing health insurance.
"Trump’s approach would lead to more medical bankruptcies, more unaffordable care, and more Americans dying unnecessarily in the richest nation on Earth."
President Donald Trump and his Republican allies have finally started talking about proposals to fix America's healthcare system, but Sen. Bernie Sanders so far has found their ideas to be severely lacking.
In an op-ed published by the Boston Globe on Thursday, Sanders (I-Vt.) denounced the GOP healthcare plans as "absurd" ideas that "would take our already broken healthcare system and make it even worse."
Sanders then ripped apart Trump's plan to simply send Americans a lump sum of money that they could use to negotiate their own healthcare package, which he said would be an "absolute disaster."
"At a time when more than 60 percent of our people live paycheck to paycheck, a $6,500 check is meaningless in the face of real medical costs," he argued. "How is someone who needs a $150,000 cancer treatment going to get the care they need with a $6,500 check? What is a pregnant woman supposed to do with a $6,500 check when the average cost of childbirth in America is over $20,000? How is someone who has a heart attack going to be able to afford a $50,000 hospital stay with just $6,500?"
All of this, Sanders continued, would simply cause more people in the US to go bankrupt from trying to afford their medical expenses, which is a situation that does not occur in any nation that has universal healthcare.
"Trump’s approach would lead to more medical bankruptcies, more unaffordable care, and more Americans dying unnecessarily in the richest nation on Earth," he said.
Sanders argued that the long-term solution for the US healthcare crisis is a single-payer Medicare for All system that he has been proposing for his entire political career.
However, he also acknowledged that this proposal currently lacks support in the US Congress, and he pitched some alternative ideas to serve as a bridge to truly universal healthcare, including extending the enhanced tax credits first passed in 2021 as part of the American Rescue Plan; repealing the nearly $1 trillion in cuts to Medicaid that were passed by Republicans earlier this year in the One Big Beautiful Bill Act; and expanding Medicare to cover dental, vision, and hearing care.
Sanders also challenged the president to support banning stock buybacks and dividends for health insurance companies, which he called a waste of resources that should be devoted to patients' care.
"The American people know that our healthcare system is broken," Sanders concluded. "With the country’s increased focus on health, Democrats must be strong in rallying the American people around a rational healthcare system that works for all, not just insurance and drug companies."
Sanders on Thursday made similar points in an op-ed published by Fox News in which he ripped the GOP for slashing Medicaid funding simply so Big Tech titans like Tesla CEO Elon Musk could have more money to "build millions of robots that will, by the way, decimate good-paying jobs throughout our country."
Earlier this week, the senator also sent a letter urging Democrats in Congress to support the policies outlined in his new opinion pieces.
“We are grateful for everything this country has given us and our children,” said one man. “But the system has become downright cruel toward immigrants.”
For people who have immigrated to the United States—regardless of whether they have legal status—life under the second Trump administration has provoked daily anxiety and fear—forcing many to make choices about whether it's safe to go to church services that once provided a sense of community, seek medical care, and send their children to school.
As federal immigration agents continued raiding communities in Charlotte, North Carolina—the latest target of the administration's mass deportation campaign—as well as other cities across the US, the New York Times/KFF poll released Tuesday gave a comprehensive look at how President Donald Trump's anti-immigration policies have impacted both undocumented immigrants and people who have green cards and other legal documentation.
Nearly 80% of undocumented immigrants reported negative health impacts due to worries about being deported, separated from their families, or otherwise harmed due to their immigration status.
Health impacts they reported include problems sleeping or eating, worsening health conditions such as high blood pressure and diabetes, and worsening anxiety or stress.
Immigrants with legal documentation also reported these impacts in large numbers, with 47% saying they have experienced health issues stemming from worries about Trump's policies. Nearly a third of naturalized citizens said the same.
A 34-year-old Colombian woman in New York said her family is "scared of going out."
“We’re getting depressed," she said. "We’re scared that they’ll separate us, they’ll mistreat us.”
While experiencing increased negative health impacts, immigrants have become more likely to avoid getting medical care—as viral videos have shown US Immigration and Customs Enforcement (ICE) agents making arrests at medical offices.
Under the Biden administration, ICE and other federal agents were barred from conducting immigration enforcement at sensitive locations like schools and hospitals, but Trump rescinded those limits.
Between 2023-25, the share of adult immigrants who reported skipping or delaying healthcare increased from 22% to 29%. One in five said it was due to immigration-related worries.
Nearly a third of parents also said they had delayed or avoided medical appointments for their children; the share rose to 43% for undocumented immigrant parents.
About half of all adult immigrants and nearly 80% of undocumented immigrants said they were "somewhat" or "very" concerned about healthcare providers sharing information with immigration enforcement officials.
Two years ago, about 26% of immigrants reported fears that they or a family member could be deported or detained, and that number has jumped to 41%.
One-third of noncitizen immigrants said they have begun avoiding aspects of everyday life, and nearly 60% of undocumented immigrants said the same.
"We have been the workforce in construction, restaurants, janitorial,” Ana Luna, an immigrant who has lived in Los Angeles with her family for nearly two decades, told the Times. “Now we have to run, hide, or stay inside. And it’s especially heartbreaking for our children.”
Luna told the Times that her youngest child's school had recently informed her that immigration enforcement was nearby.
“We are grateful for everything this country has given us and our children,” her husband, Gabriel Lorenzo, told the Times. “But the system has become downright cruel toward immigrants.”