Trump’s War on Obamacare Continues as GOP Kills Subsidies

November 24, 2025

The article argues that Republican leadership, particularly under Donald Trump, is deliberately dismantling the Affordable Care Act by allowing federal subsidies to expire at year's end. The author contends this represents Trump's continued effort to erase Barack Obama's presidential legacy, tracing the motivation back to racist "birther" conspiracy theories and opposition to "Obamacare. " Without the $35 billion in annual enhanced subsidies that cap premiums at 8.

Who is affected

An estimated 22 million people who rely on ACA subsidies
Approximately 80% of people who purchase ACA Marketplace coverage and qualify for financial assistance
Families who would see premiums jump by thousands of dollars monthly
People without employer-based health coverage
Vulnerable Republican House members concerned about constituent impact

What action is being taken

House Republican leaders are meeting and making the case for letting enhanced ACA subsidies expire on schedule
Trump is publicly declaring on social media that he will only support sending money directly to people rather than continuing ACA subsidy structures
The administration and party are preparing to allow the subsidies to end at year's end

Why it matters

This matters because it would fundamentally transform health care access from an affordable right back into what the author describes as a luxury item, forcing millions to choose between essential medical care and basic living expenses like rent and childcare. The article frames this as a deliberate policy choice driven by political motivations to dismantle Obama's signature legislative achievement, with life-or-death consequences for working families who depend on subsidized premiums, lower deductibles, and reduced copays to access necessary medical treatment.

What's next

The enhanced ACA subsidies are scheduled to expire at the end of the year
Republicans propose replacing the current subsidy system with direct payments through health savings accounts, flexible spending accounts, or cash payments
Congress has been directed by Trump not to waste time on alternatives to his preferred approach

Read full article from source: The San Diego Voice & Viewpoint