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healthcare
'People Are Going to Die' If Republicans Let ACA Subsidies End, Warns AOC
The progressive congresswoman also warned that "an extension with abortion restrictions kills women."
Dec 12, 2025
The US House of Representatives is set to vote on extending Affordable Care Act subsidies next week, and Rep. Alexandria Ocasio-Cortez warned Friday that if Republicans let the ACA tax credits expire at the end of the year, "people are going to die."
The New York Democrat spoke to reporters in Washington, DC a day after only four Republicans voted with Democratic senators in an unsuccessful effort to pass legislation extending ACA subsidies, as over 20 million Americans face a surge in health insurance premiums. A GOP bill to replace the subsidies with annual payments to tax-advantaged health savings accounts also failed.
"We have to remember who's in charge of the House, the Senate, and the White House. Republicans have a House majority, they have a Senate majority, and Donald Trump is president of the United States, and JD Vance is vice president of the United States," Ocasio-Cortez said in remarks shared by her and multiple news sources on social media.
House Speaker Mike Johnson (R-La.) "refused to engage" in a debate on the looming healthcare crisis and "kept Republicans home for over a month so that they would not negotiate," she said. Trump and Vance "did the same thing—they stuck their heads in the sand for the entirety of a... government shutdown where we were urging them to come to a solution on extensions of ACA premium subsidies," she continued, calling for a "clean" extension while the GOP sorts out its supposed healthcare plan.
Rep. @AOC on healthcare subsidy proposals: "An extension with abortion restrictions kills women." pic.twitter.com/HOCqHMGemp
— Forbes Breaking News (@ForbesTVNews) December 12, 2025
"People are gonna be kicked off of their insurance. Open enrollment is happening right now, and there are going to be millions of Americans that are affected—that aren't gonna be able to go to a doctor, aren't gonna be able to afford their prescription drugs, because of some petty fight in Washington," the congresswoman said, noting Democratic efforts to force votes on an extension.
As NBC News reported Thursday, early enrollment data from several states shows that "more people appear to be walking away from Affordable Care Act coverage or switching to cheaper plans for 2026 compared to this time last year," which "could reflect signs of financial strain for people who can't afford to pay hundreds of dollars more in monthly premiums once enhanced federal subsidies expire at the end of the year."
Demanding that her colleagues in DC recognize the urgency of the issue, Ocasio-Cortez—who supports Medicare for All—said Friday that "I don't understand why they can't just extend these subsidies so that we can save people's lives while they figure out whatever their political food fight is."
AOC also pushed back against GOP efforts to restrict reproductive healthcare in an ACA subsidy bill, saying "an extension with abortion restrictions kills women—so no, I'm going to allow this Republican majority to kill women in this country so that they can try to do whatever their victory lap is. I will not accept women, and the lives of women, as some political cost for them being able to extend these things. Reproductive care is healthcare. Period."
Since the right-wing US Supreme Court reversed Roe v. Wade and GOP-led states further restricted reproductive rights, multiple stories have emerged from places including Georgia and Texas exemplifying how "Republican abortion bans kill women."
After Johnson met with the House GOP's "Five Families" on Friday, he is expected to allow a floor vote to extend the subsidies next week and, according to Punchbowl News, is considering giving moderates an option without abortion funding restrictions.
As Politico reported Friday evening:
[GOP] leaders ultimately expect the extension vote to fail, resulting in skyrocketing premiums for millions of Americans when the subsidies expire at the end of the year.
Instead, according to House Republican leadership aides, Republicans are preparing to roll out a healthcare framework that would allow businesses that fund their own health plans to purchase "stop-loss" policies—which would protect businesses from going bankrupt from just a few unexpectedly expensive insurance claims.
It also would appropriate funds to pay for "cost-sharing reductions" in Obamacare and include some elements of a separate legislative proposal designed to crack down on pharmacy benefit managers—companies that negotiate drug prices on behalf of insurers and large employers.
Like Ocasio-Cortez—who has faced mounting calls to launch a 2028 primary challenge to Senate Minority Leader Chuck Schumer (D-NY) over his handling of the March funding fight and recent shutdown—the upper chamber's top Democrat put the blame squarely on Republicans after both bills failed to advance on Thursday.
"Republicans must answer for why people will lose coverage. Republicans must answer why families see premiums double and triple over the next year," Schumer said. "Democrats' focus does not change. We fought like hell to stop these hikes, and we're going to continue to fight like hell to bring costs down for the American people on healthcare, on housing, on electric rates, on groceries."
"But Republicans are fighting like hell to send those costs right through the roof," he added. "They're fighting like hell to kick people off insurance. They're fighting like hell to cut taxes and give sweet giveaways to billionaires and the ultrarich. January 1st is coming. Republicans are responsible for what happens next. This is their crisis now, and they're going to have to answer for it."
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Cold Weather Kills Baby in Flooded Gaza Tent as UN Warns of Crisis for Mothers and Children
"The pattern is clear—malnourished mothers, giving birth to underweight or premature babies, who die in Gaza's neonatal intensive care units or survive, only to face malnutrition themselves," said a UNICEF spokesperson.
Dec 11, 2025
Over two years into Israel's genocidal assault on and blockade of the Gaza Strip, the death toll continued to rise on Thursday, with local health officials and relatives confirming that 8-month-old Rahaf Abu Jazar died of exposure after floodwaters hit her family's tent in Khan Younis.
Her death came as the United Nations Children's Fund (UNICEF) and the UN Human Rights Office in the occupied Palestinian territory continued to sound the alarm about conditions for mothers and children, including infants like Abu Jazar.
As CNN reported Thursday:
Weeping and caressing the lifeless Rahaf in her arms, the baby's mother, Hejar Abu Jazar, kept ululating in despair. She said she had fed her daughter the previous night.
"She was completely fine. I breastfed her last night. Then all of a sudden, I found her freezing and shivering. She was healthy, my sweetheart," she cried.
"When we woke up, we found the rain over her and the wind on her, and the girl died of cold suddenly," the mother told Reuters. "There was nothing wrong with her. Oh, the fire in my heart, the fire in my heart, oh my life."
Citing municipal and civil defense officials, the news agency also noted that the storm flooded most tent encampments across Gaza, leading to thousands of calls for help that largely went unanswered due to fuel shortages and damage to equipment such as bulldozers tied to Israel's blockade and bombardment of the exclave since the Hamas-led October 7, 2023 attack.
After more than two years of war, Hamas and Israel struck a ceasefire deal this past October, though hundreds of alleged Israeli violations have resulted in at least 383 Palestinian deaths and 1,002 injuries. As of Thursday, the Gaza Ministry of Health put the totals at 70,373 dead and 171,079 injured, though with thousands missing, those are likely undercounts.
In addition to killing over 70,000 Palestinians, Israel "has also damaged or destroyed 94% of Gaza's hospitals, largely denying women access to essential healthcare, including reproductive healthcare," the UN Human Rights Office noted in a Thursday statement. "The Israeli blockade has also prevented the entry of objects indispensable to the survival of civilians, including medical supplies and nutrients required to sustain pregnancies and ensure safe childbirth."
"As a result, women were three times more likely to die from childbirth and three times more likely to miscarry in Gaza by October 2024 compared to before October 7, 2023," the office said. "Newborn deaths have increased, including at least 21 babies who died on their first day of life as of June 30, 2025. And births have dropped by a staggering 41% in the first half of 2025 compared to the same period in 2022."
Dr. Ambereen Sleemi, an American gynecologist, told the UN office about her experience volunteering in July at Nasser Hospital in Khan Younis, the largest medical facility in southern Gaza.
"As we did our rounds, bombs were going off in the background. One time, a nurse was shot in the head through the window in Nasser," she said. "Sometimes quadcopters would come in and try to shoot nurses or literally chase them through the hospital corridors."
"I cared for pregnant women who had been shot in various locations, including the abdomen," the doctor continued. "Many women were simply too injured to survive. If their injuries did not claim their lives, then sepsis often did, as there were not enough medical supplies or antibiotics to treat the preventable infections that followed."
"Almost every pregnant woman I treated who had other children said she had already lost a child in the war," Sleemi added. "The collective pain and sorrow were overwhelming and ever-present."
Some of them have died of hunger. While speaking with reporters at UN headquarters in Geneva earlier this week, Tess Ingram, UNICEF communication manager, highlighted how the hunger crisis in Gaza is impacting mothers and young kids.
"At least 165 children are reported to have died painful, preventable deaths related to malnutrition during the war," Ingram said. "But far less reported has been the scale of malnutrition among pregnant and breastfeeding women, and the devastating domino effect that has had on thousands of newborns."
"The pattern is clear—malnourished mothers, giving birth to underweight or premature babies, who die in Gaza's neonatal intensive care units or survive, only to face malnutrition themselves or potential lifelong medical complications," she continued, recalling some of the newborns she saw in the strip's hospitals, "their tiny chests heaving with the effort of staying alive."
Ingram stressed that "low birth weight infants are about 20 times more likely to die than infants of normal weight. They need special care, which many of the hospitals in Gaza have struggled to provide due to the destruction of the health system, the death and displacement of staff, and impediments by Israeli authorities that prevented some essential medical supplies from entering the strip."
She also shared the story of meeting a mother at a neonatal intensive care unit in Gaza City two weeks ago. The woman, Fatma, was there to see her baby, Mohammed, who was born premature and weighed only 3.3 pounds.
According to Ingram:
Fatma told me that unlike her first pregnancy, when she had access to antenatal checkups, vitamins, and nutritious food, "this pregnancy has been full of displacement, lack of food, malnutrition, war, and fear." She said she was malnourished for three months of the pregnancy, displaced three times, and her young daughter and husband were killed, two months apart, by airstrikes.
I have spent many months in Gaza over the past two years, and I see and hear the generational impacts of the conflict on mothers and their infants almost every day; in hospitals, nutrition clinics, and family tents. It is less visible than blood or injury, but it is ubiquitous. It is everywhere.
I have lost count of the number of parents like Fatma who have sobbed while telling me what happened to them, wrecked by how powerless they are to protect their children in the face of indiscriminate destruction and deprivation. Generations of families, including those born into the ceasefire, have been forever altered by what was inflicted upon them.
"And the fear must end," she declared. "This ceasefire should offer families safety, not more loss. More than 70 children have been killed in the eight weeks since the ceasefire began. The ongoing attacks and the killing of children must stop immediately."
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GOP Senators Blasted for Voting to 'Spike Healthcare Costs for Millions'
"This was a calculated attack on hard-working families across the nation, all so Republicans can keep showering billionaires and big corporations with tax breaks."
Dec 11, 2025
The Republican Party "owns the healthcare crisis to come," said US Sen. Tammy Duckworth on Thursday after the GOP voted down a three-year extension of Affordable Care Act subsidies, all but guaranteeing that health insurance premiums will double on average for about 22 million Americans—and at least one Republican lawmaker couldn't help but agree with her.
"If you're not concerned, then you're living in a cave," said Sen. Jim Justice (R-W.Va.) regarding the impact the vote could have on the Republican Party in next year's midterm elections. "If you're not watching the elections that are happening all the time, then you're living in a cave."
The much-anticipated vote came more than two months after the beginning of a record-breaking shutdown which lasted from October-November and started when Democrats refused to back a spending bill that would have allowed for the expiration of the ACA subsidies. A November poll found that Americans blamed President Donald Trump and the GOP for rising healthcare costs and for the shutdown.
On Thursday, and as expected, the vast majority of Senate Republicans refused to join Democrats in voting to extend the subsidies.
Four Republicans—Sens. Lisa Murkowski and Dan Sullivan of Alaska, Josh Hawley of Missouri, and Susan Collins of Maine—voted in favor of the extension, but the legislation failed by a vote of 51-48, with 60 votes needed for it to pass.
A GOP bill failed by the same margin. Introduced by Sens. Bill Cassidy (R-La.) and Mike Crapo (R-Idaho), the legislation would have allowed the subsidies to expire on December 31, but would have replaced them with an annual payment of up to $1,500 in tax-advantaged health savings accounts to help people pay for out-of-pocket healthcare costs. The HSAs would not be usable for monthly premium payments and only people with high-deductible or catastrophic plans on the ACA exchanges would be eligible.
Trump gave his tacit approval of the plan but didn't explicitly endorse it; he has not released a healthcare plan of his own.
Senate Minority Leader Chuck Schumer (D-N.Y.) said the GOP proposal was "essentially to hand people about $80 a month and wish them good luck."
“So, to get that $80 a month, you’re going to pay $7,000 off the top before you even get any health insurance," he said. "How ridiculous. How stingy. And how mean and cruel to the American people.”
GOP leaders in the House have said they hope to hold a vote on healthcare next week, but they don't yet have a proposal for the vote. Meanwhile, some Republicans in swing districts have urged House Speaker Mike Johnson to simply hold a vote on extending the ACA tax credits as Democrats have been demanding for months—with some signing two discharge petitions to circumvent Johnson and force a vote.
The advocacy group Protect Our Care condemned Republicans after Thursday's vote for delivering "one of the most devastating blows to American healthcare in years."
“Senate Republicans didn’t just turn their backs on American families—they actively voted to spike healthcare costs for millions,” said Protect Our Care president Brad Woodhouse. “They know ending the tax credits will send premiums skyrocketing, force people off their coverage, and push families to the brink just to afford a doctor’s visit, and they did it anyway. This was a calculated attack on hard-working families across the nation, all so Republicans can keep showering billionaires and big corporations with tax breaks."
"Every person left uninsured, every skipped prescription, every family thrown into financial turmoil is the direct result of the choice Republicans made," added Woodhouse. "With this vote, Republicans told struggling families loud and clear: ‘You’re on your own.’”
Michelle Sternthal, director of government affairs at health advocacy organization Community Catalyst, emphasized that Republicans voted to end the subsidies at the end of a year of "record enrollment, illustrating just how essential affordable coverage is to people’s health and economic stability."
The vote came as Trump is seeking to deny that Americans are struggling to afford groceries, healthcare, and other essentials—claiming he would give the economy an "A+++++" rating on Tuesday and asserting that prices are going down, even as he was launching a nationwide tour focused on affordability. A Politico poll released this week found that nearly half of Americans are having trouble affording the necessities of everyday life, and 55% blame Trump's policies for the affordability crisis.
“It is beyond ironic that the party that campaigned on lowering costs is now responsible for double digit premium increases for families," said Sternthal on Thursday. “This was a deliberate choice. By sabotaging the extension of enhanced ACA premium tax credits, congressional Republicans are deepening the affordability and medical debt crisis—driving premiums higher and forcing millions of families to choose between the care they need and putting food on the table."
Sen. Bernie Sanders (I-Vt.) said the healthcare vote called into question for the latest time the Trump administration's promise that it aims to "Make America Healthy Again."
At MoveOn Civic Action, chief communications officer Joel Payne condemned Senate Republicans for voting to double healthcare premiums as grocery and rent prices rise—but also reserved some outrage for the Democrats who voted to end the shutdown in November after securing no commitment from the GOP that the party would protect people's healthcare.
“Donald Trump and Republicans will not lift a finger to do anything about the healthcare crisis that they created," said Payne. "If Senate Democrats held firm during the government funding debate and used the leverage the grassroots created for them, they would have been in a stronger position to deliver more affordable healthcare for the American people."
"This predictable outcome shows us yet again," Payne added, "that working people need a robust opposition party to stop Republicans and the Trump administration from screwing us.”
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