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Health Care Clash: Who Will Blink First?

USATuesday, October 7, 2025
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Democrats Push for Health Insurance Subsidies

  • Democrats argue for an extension of health insurance subsidies, claiming it aligns with the majority of Americans' wishes.
  • Republicans are divided on the issue, with some open to extending the subsidies introduced in 2021 during the COVID-19 pandemic.

The ACA's Role in the Debate

  • The subsidies help millions of people insured through the Affordable Care Act (ACA) marketplaces.
  • Without them, many will face higher premiums at the start of the year.
  • 24 million people are now enrolled in the ACA, making significant changes more difficult.

Republican Stance

  • Some Republicans see this as an opportunity to cut back on the ACA program.
  • They have opposed the ACA since its introduction 15 years ago but have been unable to make major changes.

Leadership in a Tricky Spot

  • President Donald Trump is willing to work with Democrats on health care only if they agree to reopen the government first.
  • Senate Majority Leader John Thune says Republicans are open to extending subsidies only if the government reopens first.

Public Opinion and Political Pressure

  • Democrats believe public opinion is on their side and that Republicans will have to negotiate.
  • Many ACA enrollees live in Republican districts and states, facing rising costs if subsidies aren't extended.

The Shutdown's Escalation

  • The White House suggests they may block backpay for federal workers if the government reopens, adding urgency.
  • Both sides are digging in, potentially prolonging the shutdown.

The Stakes Are High

  • The debate over health care is far from over.
  • It remains unclear who will blink first, but the consequences are significant.

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