Politico November 11, 2025
Republicans say giving health care subsidies as cash to consumers would give Americans more control over their coverage. Critics say it could severely undermine the ACA marketplaces.
Republicans are putting their own spin on subsidizing Americans’ health care: Route money away from insurers and put cash directly in consumers’ hands to give them more choice over their coverage.
Economists and policy experts suspect President Donald Trump and GOP lawmakers are presenting this alternative to extending the enhanced Affordable Care Act subsidies because they want to undermine or even replace Obamacare — something the party has repeatedly failed to do in the past.
With direct cash payments from the federal government into special accounts, “healthy people could get much cheaper insurance...
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