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"Every day the consequences of GOP healthcare cuts get worse," said one campaigner.
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.”
This November, will the American people show up to the polls to defend reproductive freedom? Or, will our elected officials succumb to pressure from extremists seeking to ban abortion nationwide?
In today’s post-Roe world, the current landscape of abortion care is not defined by a single sweeping law or dramatic congressional vote. Instead, it is shaped by something far more subtle, sinister, and more consequential for millions of Americans. As we speak, every lever of government is being used to chip away at our reproductive freedom—and anti-abortion extremists are just getting warmed up.
This November, will the American people show up to the polls to defend reproductive freedom? Or, will our elected officials succumb to pressure from extremists seeking to ban abortion nationwide?
This year marks four years since the Supreme Court’s Dobbs decision, which overturned Roe v. Wade and eliminated federal protections for abortion care. As the lead plaintiff in Zurawski v. Texas, I have felt the full weight of the deadly Dobbs decision, and what happens when extremism infiltrates our democracy leading to devastating consequences for women and patients nationwide.
In a recent New York Times piece entitled “The Missing Middle in the Abortion Debate,” the author asserts that candidates need to find a “middle ground” and compromise when it comes to abortion laws in states like Texas. But the reality is that there is no “middle ground” when lives are at risk.
Protecting abortion access is still popular with Americans across the political spectrum, and yet, anti-abortion extremists and lawmakers continue to ignore what most Americans want.
As soon as Roe was overturned, states with anti-abortion legislatures quickly instituted trigger bans resulting in several women dying in states like Texas, Georgia, and North Carolina after being denied or delayed abortion care. In the years since we lost federal protections for abortion rights, many more women and patients from across the country have jumped through unimaginable hurdles just to seek care they needed.
Let me be clear, the piece treats abortion like a line on a chart. I know how being denied abortion care can mean the difference between life and death, and I also know that compromising on reproductive rights can cost women their lives.
My husband Josh and I always knew we wanted a family, so after trying for over a year, I found out that I was pregnant with my baby girl, Willow. However, at 18 weeks pregnant, our lives completely changed when we learned that my cervix had prematurely dilated, that amniotic fluid was leaking from my body, and that Willow was not going to survive to birth. Because of the Dobbs decision, which happened two months prior to everything I was experiencing, doctors sent me home because they could not legally treat me. Days later, I was in the ICU with sepsis, fighting for my life. Today, because I was denied the care I desperately needed, I am unable to bear children in the future.
My pregnancy was wanted. My daughter Willow was wanted. In a perfect world, I would be growing my family with my husband and daughter by my side. Instead, I turned my trauma into advocacy and have spent the last four years fighting for women across the country to be able to access safe abortion care.
Right now, anti-abortion extremists are leveraging every opportunity to ban abortion nationwide—no matter the cost. They are orchestrating a layered, coordinated effort to restrict abortion access through our judicial system, state legislatures, and federal agencies. Anti-abortion extremists are taking these measures to achieve several goals at one time: eliminate abortion care without further complicating their chances in the upcoming midterm elections.
And yet, anti-abortion politicians and lawmakers have been relentless in their efforts to chip away at abortion access. From Sen. Josh Hawley’s (R-M. attacks on medication abortion, and Senate Republicans upholding President Donald Trump’s ban on abortion care for veterans or demanding anti-abortion riders in critical funding legislation—these extremists have demonstrated a clear commitment to enacting their anti-abortion agenda.
What’s alarming is that these attacks are not happening in isolation. Republicans are publicly avoiding discussion of abortion ahead of November. However, wherever they are governing, they are actively fighting to take away our freedom to choose.
Though the post-Dobbs landscape was initially framed as “a return to states’ rights,” the reality is that Trump and his administration have taken a number of covert steps to diminish abortion care, while allowing states to lead the charge in an all out assault on abortion rights. Republican-led state legislatures are advancing laws to block the mailing of abortion medication, criminalize its distribution, and even classify these medicines as controlled substances.
Furthermore, several states have taken up lawsuits similar to Louisiana v. FDA to challenge federal approval and distribution rules. In other words, state-level bans are being weaponized to attack all forms of abortion care and eliminate a patient’s ability to receive comprehensive reproductive healthcare.
As we look toward November, now more than ever we must be mindful of who will stand up for reproductive freedom—because lives are on the line. Abortion is on the ballot once again, and we deserve to know who will protect our freedoms without hesitation or compromise.
I recently traveled back to Washington, DC to tell my story alongside more than 150 abortion storytellers to talk about the impact of the Dobbs decision on our lives and in our communities. We met with both Democratic and Republican offices to stress the importance of fighting for reproductive freedom to save lives.
Protecting abortion access is still popular with Americans across the political spectrum, and yet, anti-abortion extremists and lawmakers continue to ignore what most Americans want. According to the latest data by Navigator Research, a majority of Americans continue to believe that abortion should be legal in most cases and that lawmakers who support anti-abortion policies, including banning or restricting contraception and abortion nationally, are deal-breakers.
The debate is no longer just about whether abortion is legal in a given state. It’s about who controls the systems that determine access: courts, agencies, supply chains, and Congress.
Extremists are weaponizing the machinery of democracy to erode our freedoms—not all at once, but piece by piece, at the expense of American lives. Now more than ever, we must use our voices at the ballot box and beyond to fight back.
"Republicans in Congress sold out many of their own constituents to help corporations get even richer," said the campaign director of Unrig Our Economy.
Major American corporations that benefited from tax cuts enacted last year by President Donald Trump and congressional Republicans are donating to the campaigns of GOP lawmakers who made the windfall possible.
A report published Friday by Unrig Our Economy spotlights seven House Republicans who voted for the sprawling and unpopular GOP budget package, which extended tax breaks for corporations and wealthy Americans while inflicting unprecedented cuts on Medicaid and federal nutrition assistance—with disastrous consequences for millions of low-income families across the country.
Rep. Mariannette Miller-Meeks (R-Iowa), one of the lawmakers featured in the new report, has received campaign donations from corporate PACs representing 3M, Amazon, Walmart, AT&T, and other companies that collectively received billions of dollars in tax breaks from the Republican law, which restored a provision allowing businesses to immediately write off new investments.
Amazon saw its US income taxes fall by more than half last year due to the GOP law, even as the company's profits grew. Unrig Our Economy noted that Amazon, whose PAC donated thousands to the Republicans spotlighted in the new report, has an effective federal tax rate of 1.37% following enactment of the budget law.
Miller-Meeks, who has received at least $57,000 in donations from the PACs of companies that benefited from the 2025 law, issued a statement Thursday bragging about supporting "the largest tax cuts in American history," not mentioning that the benefits will disproportionately flow to profitable corporations and the richest people in the country.
"Thanks to the Republican tax law, corporations are receiving tax breaks, House Republicans are getting campaign cash, and working families are getting stuck with the bill," the report states.
Another Republican lawmaker featured in the report, Rob Bresnahan of Pennsylvania, received $2,500 in campaign donations from the PAC of FirstEnergy, which reaped $500 million in depreciation deductions thanks to the GOP tax law.
"Bresnahan voted to give FirstEnergy hundreds of millions in tax breaks even after the company raised utility prices for his constituents," Unrig Our Economy's report observes.
The report also points out that Bresnahan "owned stock in every single one" of the companies who contributed PAC money to his campaign following passage of the Republican budget package last summer.
"This comes after Bresnahan has already faced scrutiny for dumping stock in Medicaid providers and selling off bonds in Pennsylvania hospitals before voting to slash Medicaid and put rural hospitals at risk," the report notes.
Leor Tal, Unrig Our Economy's campaign director, said in a statement that "one year ago, House Republicans ripped away healthcare and food assistance from millions of Americans, so that corporations could get massive tax breaks."
"Now, many of those companies are dishing out PAC money to the Republicans listed in this report," said Tal. "Republicans in Congress sold out many of their own constituents to help corporations get even richer. It’s time that House Republicans step up, do the right thing, and start fighting for working Americans—not giant corporations."