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]

Elevance Health cut its profit outlook for the year on higher medical costs in Affordable Care Act plans and lower reimbursement from Medicaid https://t.co/1bKWjlk348 ...

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]

Healthcare & Policy Impact - 17 million Americans are projected to lose healthcare coverage due to the new law [3] - Healthcare costs are expected to increase for everyone due to uncompensated care that hospitals will have to write off [3] - 4 million Americans will no longer have ACA tax credits, making healthcare unaffordable on the exchanges [8] - Medicaid changes will lead to people losing coverage, and hospitals potentially closing [5][6] SNAP & Social Safety Net - 3 million people are going to lose access to SNAP (Supplemental Nutrition Assistance Program) [15] - $285 billion of SNAP food assistance is being cut [16] - Every $1 invested in SNAP returns approximately $1.50 into the US economy [17] - Almost 70% of SNAP recipients are seniors, the disabled, and children [17] Political Strategy & Communication - Democrats need to communicate the impact of the bill every single day [2] - The long-term impacts of the bill, such as cuts to Medicaid, don't hit until after the 2026 midterm elections and some parts after the 2028 presidential election [10] - The administration has not been focused on lowering costs for Americans [12][15]

Good evening from New York. I'm Chris Hayes back with you on this very, very, very special Independence Day edition of All-In. We are very glad you're here. We're glad to be here as well.It is a day for family and food celebrations and also in this era protests from Worcester, Massachusetts to Sue City, South Dakota, from Palm Bay, Florida to Tustin, California. Americans celebrated the nation's birthday by once again demonstrating against the Trump administration and protests scheduled all over the country ...

Healthcare Policy & Political Landscape - The report highlights the unpopularity of a healthcare bill, drawing parallels to the 2018 midterm elections where healthcare was a key issue [1][2] - Democrats successfully used the healthcare issue to win back 41 House seats and flip two Senate seats in 2018 [6] - Republicans are again attempting to take away healthcare from millions of Americans [7] - A Kaiser Family Foundation poll indicates that 83% of people approve of Medicaid, including 74% of Republicans [10][11] Potential Impact of Healthcare Legislation - The proposed bill could result in nearly 12 million people losing Medicaid coverage [9] - An additional 42 million (4.2%) people could lose healthcare due to cuts to the Affordable Care Act [10] Republican Party Dynamics & Messaging - Republican lawmakers seem unenthusiastic about the healthcare bill, with defensive responses when questioned about pressure from Trump [11][12] - There is a lack of unified messaging among Republicans regarding the bill, with some focusing on unrelated topics or criticizing Republican colleagues [16][17]