House Republicans race the Senate for a plan to lower health care costs
Source: CNN Politics
11/18/2025 04:45 AM EST
Republicans in the House are just starting to have serious discussions about how to address skyrocketing health insurance premiums. Theyll have to move fast to catch up with their Senate counterparts, who are weeks ahead of them in complex and politically contentious deliberations.
After a lengthy recess, House Republicans are together again in person and coming to the drawing board on the policy issue that prolonged the longest government shutdown in history: the enhanced tax credits for Affordable Care Act insurance premiums that are due to expire at the end of the year without congressional action.
Theyll have their first conference-wide conversation Tuesday morning about whether theyll seek to negotiate an extension with Democrats or forge ahead on a separate conservative health care agenda.
According to two people granted anonymity to share internal party strategy, GOP leadership will lead a high-level discussion in their closed-door meeting focused on how to address rising health care costs, laying out key Republican principles and charting a path forward for putting legislation together under a very tight deadline.
But by their own admission, House Republicans are only in the very nascent stages of negotiations, while Senate Republicans are already outlining detailed proposals to align with President Donald Trumps vision for lowering the cost of health care by sending health funds directly to the people.
Read more: https://www.politico.com/news/2025/11/18/aca-obamacare-subsidies-extension-00655842
where nothing was done in the House of Representatives for almost 2 months (7 weeks).
It took over a YEAR to go from this -
Health Reform Summit March 5, 2009

to this -
Signing of the Patient Protection and Affordable Care Act March 23, 2010

And now the GOP is gonna try to cobble some shit together "in 2 weeks".
mdbl
(7,791 posts)dweller
(27,607 posts)Gonna send all his citizens an allowance if we are good
😑
✌🏻
Diraven
(1,745 posts)Trump's "brilliant" idea is to get rid of the concept of health insurance altogether and go back to the days where you only get a doctor if you can afford it. The whole reason we have health insurance is because most people couldn't afford it. That's not lowering the cost of health care for anyone except the healthy and wealthy.
wolfie001
(6,555 posts)See? That's a savings right there.
OrlandoDem2
(3,136 posts)wolfie001
(6,555 posts)He said to me, "How can I run tests if you always say you feel fine?" I told him I have regular Medicare. Just run the tests. Even he's been conditioned to cut back on routine health care. Constantly being squeezed by the system. He told me, "Oh yes. We can order the tests." Plus, people die all the time after saying, "I feel great." Ticking time bomb. Anyways, my follow-up is t'mrrw. Hope it goes well.
OrlandoDem2
(3,136 posts)Enough with the for-profit healthcare model.
Healthcare is not broken in the clinic.
Its broken in the insurance system. Its broken in the billing system that awards massive profits to insurance bureaucracies.
Ray Bruns
(5,799 posts)1. Dont get sick.
2. If you do, die quickly.
amcgrath
(417 posts)The biggest crisis in health insurance isn't going to be the withdrawal of ACA. It's going to be the destruction of the CDC and hundreds - if not thousands of public health programs that quietly monitor/screen and coordinate responses to possible outbreaks. Vaccination programs have gone, and no employee or educational facility can require employees or students to be vaccinated or asked to mask.
Insurance premiums are largely calculated by risk. Diseases that were once regarded as eradicated are already making a comeback.
And since the risk is exponential, the calculations are far higher than you might imagine. On average, one person with measles transmits it to 12-18 people. Untreated TB, 10-15 people. Measles is contagious from 4 days after catching it - symptoms appear 7-21 days after contracting it. Insurance companies must budget for worst case scenarios - and are happy to.
Meanwhile, hospitals are forced (to an extent) to offer care to people who can not, or will not pay. They will try to recover their costs by raising prices on other services, and insurance companies will feel that too.
The GOP is doing for heath insurance, what climate change has done to home insurance in Florida.
BumRushDaShow
(163,468 posts)The removed (higher level) staff and Committee panelists have essentially formed a "shadow health department" and have been advising and partnering with blue state "coalitions" to provide health recommendations for the participant states.
West Coast Health Alliance
States band together to issue public health guidance after destruction of the CDC
Northeast Public Health Collaborative
Several Northeastern States and Americas Largest City Announce the Northeast Public Health Collaborative
Destruction of the ACA will take us back to pre-2009, but on steroids due to the obsessive greed, and back to denials for those with "pre-existing conditions" (which in the past, included pregnancies).
J_William_Ryan
(3,163 posts)Theres already a plan in place.
Its called the ACA.
All Republicans need to do is fund and support it which of course they wont.
progree
(12,562 posts). . . Some 24 million people on Affordable Care Act insurance face health care premiums soaring an average of 114%. Millions more are expected to lose Medicaid when the cuts in Trumps big beautiful bill kick in just after the midterm elections.
. . . Trump has long sought to eliminate Obamacare dating back to his first term in the White House. His own replacement plan, however, faces numerous obstacles. Insurance is usually purchased by groups of people, allowing prices to be negotiated and risks shared. Payments from healthy people also subsidize care for those who are ill.
wolfie001
(6,555 posts)What a fat clown. So stupid, so inept. Ironically, the old fat f6ck calls a reporter "Piggy" while he's +280 lbs.
angryxyouth
(313 posts)Last edited Tue Nov 18, 2025, 07:21 PM - Edit history (1)
Its the only way they can win the midterms
popsdenver
(1,056 posts)So these Members of the House and Senate think THEY are gonna tell the Health Care Corporations, the Pharmaceutical Corporations, and the Entire Health Industrial Complex what they are going to do........That is laughable.........those Corporations will laugh their asses off at that.....