witnessed by the ever increasing numbers of Americans (46M now) who have gladly availed themselves of the ACA...but it was never seen as the final solution to the goal of All Americans having truly affordable HC.
...here is an AI overview of those improvements sought by Democrats...but as yet not joined by Republicans, who have failed for nearly 15 years to present a better solution to our HC system.
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AI Overview
Democrats support several changes to the Affordable Care Act (ACA), most notably making permanent the enhanced premium tax credits to keep health insurance premiums low for millions of Americans.
Key changes and additions to the ACA that Democrats support include:
Extending Enhanced Subsidies: Democrats have consistently pushed to extend the enhanced premium tax credits that were initially expanded under the American Rescue Plan and the Inflation Reduction Act. These subsidies dramatically increased the number of people qualifying for financial assistance and led to record enrollment. If they expire, premiums for subsidized enrollees are estimated to more than double on average.
Funding Cost-Sharing Reductions: Democrats support fully funding cost-sharing reductions (CSRs), which help lower out-of-pocket costs like deductibles and copayments for low-income enrollees in silver plans.
Negotiating Prescription Drug Prices: Through the Inflation Reduction Act, Democrats empowered the Secretary of Health and Human Services to directly negotiate prescription drug prices with pharmaceutical companies, a measure they support to slash drug costs.
Capping Costs: They support capping insulin costs at $35 per month for Medicare beneficiaries and implementing a $2,000 annual out-of-pocket limit on prescription drug costs for Medicare recipients.
Requiring Essential Health Benefits: Democrats oppose measures that would allow plans, such as association health plans, to skirt the requirement to cover essential health benefits mandated by the ACA, arguing it would destabilize the marketplace.
The primary focus in late 2025 has been preventing the expiration of the enhanced premium subsidies, with Democrats using legislative tactics like discharge petitions to force votes on the issue.
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Again...Where is the GOP HC Plan...Lord knows they've had more than enough time to draft one. The actual answer is that the GOP is a tool for the "For Profit Health Care Industry that would like to be able to deny you coverage at their whim while allowing Middlemen to offer no value other than exorbitant compensation for their executives.