this post was submitted on 24 Nov 2025
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Donald Trump appears poised to announce a two-year extension of Affordable Care Act subsidies, due to expire at the end of December, while setting new limits on who is eligible to receive the tax credits, according to reports.

Without an extension of Covid-19-era Obamacare subsidies, insurance premiums for nearly 22 million American citizens threaten to more than double early next year, a point made repeatedly by Democrats during the recent 43-day government shutdown, who refused to sign a stopgap spending bill that did not address the problem.

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[–] InvalidName2@lemmy.zip 2 points 5 hours ago

An added layer to this shit storm is that the actual deadline for signing up is December 15th because that's when open enrollment ends. After open enrollment, whatever plan you choose (or if you choose to go without), you're stuck with until next year (caveat being that there are some qualifying events like divorce or job change where you're allowed to alter your selection).

So, here we are 3 weeks (actually less than 3 weeks now) out from having to make a final decision, and we're getting inconsistent as well as contradictory information from the federal government. These decisions take a lot of time for us to make, the rules made by the federal government should have been clear and in place well in advance of open enrollment season.

The monthly payment for my current plan is going up close to 50% (comparing non-subsidized price btw), but also comes with higher out-of-pocket expenses (copay, deductibles) and higher maximum out of pocket (lower is better). So, we're getting much less while paying substantially higher rates. Keep in mind, I'm only comparing the unsubsidized cost of the plans, but many people on ACA plans are receiving tax credits (i.e. subsidies) that cover all or part of their current plans. So for those folks who won't get that tax credit anymore, double the cost is probably understating how much more expensive it will be.

This unprecedented rise in expense means a lot of us are looking at the risk versus reward aspect of whether it makes sense to even have health insurance. That's an extremely difficult decision to have to make, then on top of that, for those that decide to stick with an ACA plan, choosing a plan is itself a monumental task with all the considerations and variables you have to keep track of. It takes a lot of time, research, effort and now in the final days of open enrollment, we're not even in a position to make these decisions based on a solid foundation of information -- the rug could be pulled and a wrench thrown in at any moment.

Maybe I'm being overly negative, but it also won't surprise me when these systems go down or have technical issues on the final day(s) because of extreme volume of use due to so many of us having to wait last minute.

[–] Cethin@lemmy.zip 9 points 15 hours ago* (last edited 14 hours ago) (2 children)

This is him extending his power. The president does not legally control the power of the purse. Congress does. The president can't legally do this. Choosing a popular position with the citizens, and one Democrats can't argue against without looking bad, gives him the clear to do this. Once it's done once they can point back to it and ask why no one thought it was wrong this time.

[–] billwashere@lemmy.world 2 points 6 hours ago

You’re absolutely right and if the repugs were smart they’d oppose this. Because this sets precedent that can be used by both sides so the dems could do the same thing. Well if there are ever more elections….

[–] buddascrayon@lemmy.world 1 points 8 hours ago

Dems will vote for the tax credit expansion but I wonder if he will actually be able to drum up support from republicans. Because despite his acting like he can make this happen the purse string are still controlled by congress and the GOP isn't as worried about their legacy as he might be.

[–] apftwb@lemmy.world 12 points 19 hours ago (1 children)

And here after I thought Democrats had complete ownership of the-shutdown-was-a-waste-of-effort, Trump swoops in to extends ACA for no reason in capitulation to no one. Showing that Republicans also were fighting for nothing. Clown government.

[–] ExLisper@lemmy.curiana.net 1 points 2 hours ago

Maybe it's because the shutdown was just a way to fire federal workers and cut benefits?

[–] RampantParanoia2365@lemmy.world 6 points 18 hours ago* (last edited 4 hours ago) (1 children)

Where the absolute holy fuck is this fucksticks's fucking healthcare plan? Where is it? It's been 5 years. WHERE IS IT.

[–] glitch1985@lemmy.world 6 points 18 hours ago

The concept of a plan.

[–] fodor@lemmy.zip 3 points 19 hours ago

I just read another article saying he caved on this. What is the actual situation?

[–] kryptonianCodeMonkey@lemmy.world 4 points 21 hours ago (1 children)

For 2 years. Fucking predicatable.

[–] minorkeys@lemmy.world 7 points 21 hours ago

Just in time to use a further extension as a political lool for the 2028 election...

[–] tallricefarmer@sopuli.xyz 20 points 1 day ago

'He suggested an act to that effect should be known as “Trumpcare” and claimed it would empower citizens and leave them feeling like entrepreneurs.'

I remember Republicans dubbing ACA as Obamacare derogatorily. But of course Trump wants a Trumpcare

[–] Formfiller@lemmy.world 1 points 20 hours ago (1 children)

What about medicade? They still throwing the elderly and disabled on the street?

[–] bitchkat@lemmy.world 2 points 4 hours ago (1 children)

Those are usually on Medicare. Medicaid is for the poors. So it's just different people getting told to fuck off and die already.

[–] Formfiller@lemmy.world 2 points 3 hours ago* (last edited 3 hours ago) (1 children)

That’s actually not true medicade covers 63% of people in nursing homes. Nursing homes are not paid for by Medicare. I know this because I had a parent that lost all their assets in 2008 and got to the point they needed nursing care and medicade is extremely difficult unless you have connections to get approved for for nursing care. With close to a trillion cut out of the budget this is going to be so very cruel https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/Just-The-Facts-Medicaid-Critical-Component-Long-Term-Care-System.aspx

[–] bitchkat@lemmy.world 1 points 3 hours ago

There are always exceptions which is why I said "usually".

[–] prole@lemmy.blahaj.zone 125 points 2 days ago* (last edited 2 days ago) (1 children)

Remember when we had a legislative branch and not an autocrat?

We need to stop normalizing this unilateral shit

[–] Archangel1313@lemmy.ca 36 points 2 days ago (4 children)

Yep. This is most likely illegal. As usual.

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[–] tidderuuf@lemmy.world 49 points 2 days ago (2 children)

Wow maybe that latest election had a bigger effect on the GOP thick skulls than anyone realized. It's just taking a bit to sink in.

[–] SinningStromgald@lemmy.world 75 points 2 days ago (6 children)

No. It is all performative. They still want to end ACA it is just not politically savy at this time. More important to stack courts, wreck government beauracracy, and control elections.

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