Enrollees in Affordable Care Act-regulated health plans will likely see sharply higher premiums next year after insurers requested the largest premium rate increase since 2018. https://t.co/TQ2pMKwsaT ...

Healthcare Funding and Medicaid - The discussion revolves around potential Medicaid cuts and their impact on hospitals, particularly in New York [3][9][10] - A Republican Congressman argues Medicaid is set to grow by over 24% in the next 10 years, focusing on eliminating waste, fraud, and abuse [4][18] - Democrats claim the Congressional Budget Office projects $900 billion to $1 trillion in Medicaid cuts [9][19] - New York spends 83% more on Medicaid than the average of other states, leading to debates over mismanagement and expansive programs [5] - New York state spending has increased by $100 billion in one decade, contributing to debt and budget issues [6] Healthcare System Challenges in New York - New York faces challenges due to the state's mismanagement, leading to out-migration [6][7] - The state is allegedly spending billions on illegal immigrants, diverting funds from hospitals and healthcare [7] - Hospitals in New York are struggling due to decisions made by the state, particularly regarding Medicaid funding [13][14][17][34] - Safety net hospitals, heavily reliant on Medicaid and Medicare, face funding cuts from the state [14] Healthcare Access and Costs - The discussion highlights the issue of uninsured individuals receiving emergency care, with hospitals absorbing the costs and potentially passing them on through increased insurance rates [27][28][29][35] - The Affordable Care Act (Obamacare) is criticized for failing to address rising healthcare costs and premiums [31][32] - Consolidation within hospital systems has not resulted in promised economies of scale, contributing to the overall cost explosion in healthcare [32][33] Redistricting and Partisanship - The conversation shifts to redistricting, with concerns about the loss of competitive districts and the rise of partisan divides [38][39][44][45] - Both parties are accused of gerrymandering, and a bill is proposed to ban it nationwide [44] - New York is accused of initiating mid-decade redistricting for political gain [41][42][43]

Healthcare Policy & Political Landscape - Republican Senator Tom Tillis' decision not to seek reelection followed his opposition to Donald Trump's bill, which could potentially strip health insurance from hundreds of thousands of people [1][2] - The withdrawal of support for the bill by Tom Tillis suggests a disconnect between Washington Republicans' claims and the potential loss of health insurance for 500,000 to 1 million North Carolinians [2] - Expansion of Medicaid in North Carolina has provided health insurance to previously uninsured individuals, a benefit now threatened by Washington Republicans [3] Impact on Citizens & Political Response - The potential loss of health insurance is a significant concern for working families already struggling with everyday expenses [4] - There is a commitment to ensure North Carolinians are aware of the potential loss of life-saving health insurance [5] - The speaker aims to address the healthcare issue in Washington, emphasizing action over mere presence, and believes rural Americans will voice their concerns to their representatives [5]

As Trump dismantles the Affordable Care Act, millions of Americans could lose access to affordable health care — without knowing who to blame, writes @lisamjarvis (via @opinion) https://t.co/PYLQvpDPxx ...

Oscar Health cut its outlook and missed estimates, the latest health insurer to be rocked by trouble in Affordable Care Act marketplaces https://t.co/hkmMPgQ3oG ...

Obamacare Marketplace - Insurers are seeking substantial rate increases for 2026 Affordable Care Act marketplace plans, also known as Obamacare [1]

Medicaid Overview - Medicaid covers nearly a quarter (25%) of Americans and costs over $800 billion [1] - Medicaid initially started small but has expanded significantly over time [1][5] - Medicaid's funding logic, involving federal assistance to states, has made it both contentious and prone to expansion [6] - Each state's Medicaid program is unique, tailored to its population [7] Healthcare Coverage in the US - Most working-age adults obtain insurance through employers, while others rely on public programs like Medicaid and Medicare [9] - The Affordable Care Act (ACA) created the healthcaregov marketplace, offering tax credits to make insurance affordable for those ineligible for Medicaid but lacking employer coverage [10] - The US healthcare system is described as "patchwork," with recent years seeing record lows in the number of uninsured individuals [10] Potential Impact of Policy Changes - Proposed changes are estimated to cause 87 million (8700000) people to become uninsured due to work requirements and administrative barriers [11] - An estimated 42 million (4200000) people could lose coverage because tax credits for the marketplace are not being extended, making it unaffordable [11] - Medicaid has grown to fill gaps in employer-based coverage, but this gap is now expected to widen [12]

Financial Performance - Elevance Health cut its profit outlook for the year [1] Healthcare Industry Dynamics - Higher medical costs in Affordable Care Act plans impacted Elevance Health [1] - Lower reimbursement from Medicaid impacted Elevance Health [1]

Political Strategy & Impact - Democrats are shifting from opposing the bill to using it against Republicans in the midterms, highlighting its unpopularity [1][2] - The strategy involves sharing stories of individuals negatively impacted by the bill's cuts to healthcare and nutrition assistance [4][5][6] - Democrats aim to emphasize that the bill will cause harm and that Republicans are responsible [6][19] Healthcare & Social Welfare - The bill could lead to 17 million people losing healthcare coverage [5][12] - It includes the largest cut to nutrition assistance in American history, affecting children, veterans, the disabled, and the elderly [5] - A $500 billion cut to Medicare is anticipated due to the bill's impact on the deficit [10] Immigration & Detention - Concerns are raised about the conditions at the "alligator Alcatraz" detention facility in Florida, costing $450 million annually, or $150,000 per ICE detainee, which is twice the national average [14][22] - The congresswoman highlights the potential dangers of deporting individuals to countries like Venezuela and Haiti [15][16] - There are allegations of inhumane conditions and lack of due process at detention facilities, with a call for congressional oversight [24][26]

Healthcare Systems Comparison - Canada operates a publicly funded universal healthcare system, unlike the United States [2] - OECD countries, except the US, generally have universal or near-universal healthcare systems [6] - The US spends significantly more per capita on healthcare compared to other developed nations but often has worse outcomes [7] US Healthcare Programs - The Social Security Amendments of 1965 created Medicaid and Medicare [9] - Over 66 million people are on Medicare and 71 million are on Medicaid [11] - In 2023, the US uninsured rate reached a record low of 79% after the implementation of the Affordable Care Act (ACA) [13] Impact of the "One Big Beautiful Bill Act" - The Congressional Budget Office (CBO) estimates the bill will add $33 trillion to the national debt over a decade and could increase the number of uninsured people by 118 million [15] - Some estimate that Trump administration policies could push the number of uninsured people up to 17 million [16] - The bill shortens the annual ACA open enrollment period by about a month [17] - The bill includes provisions that require states with expanded Medicaid coverage to charge some enrollees up to $35 for some services [18] - The changes and cuts from the bill could lead to the closure of some of the country's 760 at-risk rural hospitals [18]