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protect our care
Critics Say Trump 'Joke Healthcare Plan' Nothing But a 'Con' of the American People
“In the longer term, we must finally pass Medicare for All, an actually great healthcare plan," said one campaigner.
Jan 15, 2026
US President Donald Trump on Thursday announced a "Great Healthcare Plan" that critics panned for being "short on details," arguing that—contrary to White House claims—the scheme will lead to higher consumer costs and less care.
Trump called on Congress to pass his proposal, which he said will "lower drug prices, lower insurance premiums, hold big insurance companies accountable, and maximize price transparency."
However, the advocacy group Protect Our Care called the proposal a "joke healthcare plan" and a "sad attempt to continue gaslighting the American people."
"Since taking office, President Trump and his cronies in Congress have taken a hammer to American healthcare to enrich billionaires and big corporations," the group said. "First, they slashed $1 trillion dollars from Medicaid, and then they doubled, tripled, and quadrupled health premiums for nearly 22 million Americans already struggling to get by in Trump’s unaffordable America."
"Now that it is clear that busting working families’ budgets is bad policy and bad politics, Trump is scrambling for a lifeline," Protect Our Care added. "The solution to ending the Trump-GOP premium disaster isn’t rocket science. It is the three-year, clean extension of the Affordable Care Act tax credits that the House passed. This commonsense solution that Trump callously threatened to veto is now sitting on Senate Republican Leader John Thune’s (SD) desk."
Trump’s new health care plan doesn’t help people facing skyrocketing ACA premiums.No fix for affordability. No solution for families struggling to stay covered.Just another empty framework while costs climb.
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— Protect Our Care (@protectourcare.org) January 15, 2026 at 12:57 PM
The Senate—which last month voted down a similar three-year-extension to what House lawmakers passed—has yet to schedule a vote on the extension. An attempt to advance the bill through a unanimous consent agreement was blocked by Republicans on Wednesday.
Congressman Brendan Boyle (D-Pa.), ranking member of the House Budget Committee, said in a statement Thursday that “Trump’s half-baked healthcare ‘plan’ is a con that does nothing to help Americans facing soaring costs and would raise healthcare expenses while cutting coverage."
"That’s no surprise from a president who is taking healthcare away from 15 million Americans to pay for tax breaks for billionaires," he added. "If the White House is serious about lowering healthcare costs right now, they should support legislation to extend the enhanced Affordable Care Act (ACA) tax credits that already passed the House with bipartisan support. The American people deserve real solutions, not gimmicks.”
The nonpartisan Congressional Budget Office estimates that a three-year extension of the enhanced ACA premium tax credits would increase the number of Americans with health insurance by millions, including approximately 3 million in 2027 and 4 million in 2028.
Eagan Kemp, healthcare policy advocate at the consumer watchdog group Public Citizen, said in a statement Thursday that “Trump’s Great Healthcare Plan is impressive only in the fact that it isn’t great, wouldn’t substantively improve healthcare, and isn’t even detailed enough to be considered a plan."
“Trump and his cronies have had more than a decade to come up with something beyond ‘concepts of a plan’ but have failed time and time again," Kemp continued. "The American people are suffering under a broken healthcare system that has been made worse by Trump and his MAGA allies."
“By passing tax cuts for billionaires and paying for them through healthcare cuts for tens of millions of people, Trump and Republicans showed their disdain for everyday Americans. In the short run, the Senate must follow the lead of the House and pass a clean three-year extension of the ACA subsidies," he said.
“In the longer term," Kemp added, "we must finally pass Medicare for All, an actually great healthcare plan, to finally guarantee everyone in the US can get the care they need throughout their lives without financial barriers."
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Republicans in Congress Ripped for 'Entirely Preventable' 2026 Healthcare Crisis
"Working families simply can't afford to pay more money for worse care. We need to extend ACA tax credits to lower costs."
Dec 31, 2025
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."
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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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