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Obamacare plans typically have narrow networks that exclude top doctors and top hospitals. getty The main reason Democrats in Congress are willing to shut down the government is health care. Democrats are insisting the Republicans undo all the cuts in health care spending that were in the “big beautiful bill.” But what they want most is a continuation of the Covid-era subsidies in Obamacare for people who buy their own insurance. These subsidies are set to expire at the end of this year. The cost of continuing the Covid subsidies is $450 billion over ten years. The cost of all the Democrats’ demands is $1.5 trillion. Republicans are resisting. With Covid-era subsidies, taxpayers are paying for 90 percent of the premiums charged in the (Obamacare) marketplace exchanges. If the subsidies are allowed to expire, the taxpayer share drops to 80 percent. That means the government is still paying the lion’s share of the costs. The Congressional Budget Office predicts that 3.6 million people will find the insurance not worth the new price and will drop their coverage. Since these will be mostly healthy people, they will leave behind a sicker insurance pool, and premiums will substantially rise to cover the cost of insuring everyone who remains. Both parties are missing an opportunity here. Obamacare insurance desperately needs reforming. Smart reforms would make the insurance better for those who have it and save taxpayers money at the same time. There are seven main problems with Obamacare insurance: (1) it is absurdly expensive; (2) it leaves people vulnerable for huge out-of-pocket costs; (3) it imposes high marginal tax rates on earned income; (4) it often excludes the best doctors and the best hospitals; (5) it gives insurers perverse incentives to avoid unprofitable enrollees; (6) it over-subsidizes the healthy and under-subsidizes the sick;…

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Filed under: News - @ September 28, 2025 1:25 am