Steve Rattner: GOP doesn't talk about dismantling Obamacare but they're doing it piece by piece

Healthcare Funding & Policy - White House directs federal agencies to prepare for potential mass firings if Congress fails to pass a funding measure by the end of Tuesday [1] - Healthcare has become a major point of contention, with Democrats fighting against the dismantling of Obamacare [2][3] - Proposed budget cuts could cause 70% of those who gained health insurance under Obamacare to lose it [4] - Changes in the "big beautiful bill" account for 10 million out of 14 million potential insurance losses [4] - Republican proposals could lead to an additional 42 million people losing health insurance [5] - Work requirements for Medicaid could cause a quarter of 14 million people to lose coverage due to difficulty navigating exemption forms [6] Tax Credits & Premiums - Enhanced tax credits, implemented during the Biden administration under the American Rescue Plan, are set to expire at the end of the year [8] - Expiration of these tax credits would significantly increase the percentage of income people pay for healthcare, reverting to pre-existing ACA levels [10] - The number of people taking advantage of enhanced tax credits increased from 10 million to 20 million [11] - Fewer insured individuals lead to higher premiums for those buying insurance through Obamacare marketplaces [13] - Insurers are already filing rates for next year assuming the expiration of these tax credits, with an average proposed rate change of 18% [13][14] - A representative family (55-year-old couple making $85000 per year) could see their insurance bill increase from $7225 to $24535 if subsidies expire and premiums rise [14][15]