President Donald Trump has spent the week outlining his plans to revamp the Affordable Care Act and overhaul the country’s healthcare subsidy system. He is pushing an approach that breaks from what Washington has done for years. Instead of routing money through large insurance companies, he wants those funds placed into individual accounts so people can purchase coverage on their own.
The shutdown that stretched from Oct. 1 to Nov. 12 grew out of a battle over ACA subsidies that are scheduled to run out at the end of the year. That fight dragged the country back into the same dispute that has lingered since the law took effect.
Trump used a Truth Social post to urge Senate Republicans to pull “hundreds of billions” of dollars from major insurers and send that money straight to families. When Fox News asked him to explain the plan, he said he wants “the money to go into an account for people where the people buy their own health insurance.”
During his interview with Laura Ingraham, he said, “The insurance will be better. It’ll cost less.” He also said, “Everybody’s going to be happy. They’re going to feel like entrepreneurs. They’re actually able to go out and negotiate their own insurance. And they can use it only for that reason. That’s the beauty, only for the purpose,” and he added, “And if we did that, that would be so exciting.”
He even joked that the plan could be called “Trumpcare” or “whatever you want to call it.” He criticized the ACA, reminding people that the law was signed in 2010 under Barack Obama. He said that “premiums have gone up like rocket ships,” and argued that any new system should avoid the Obamacare brand altogether.
VISIT OUR YOUTUBE CHANNELThe shutdown ended this week after he signed the government funding bill at the White House. The House had approved the Senate’s plan with a 222–209 vote, which brought the standoff to a close after weeks of deadlock. Democrats had been demanding an extension of an enhanced tax credit that expires at the end of the year. They argued that ACA marketplace plans depend on that support. They rejected a short-term funding bill because it excluded the extension. Republicans said the fight over subsidies should not be linked to a shutdown.
Both sides now face a December Senate vote, and nobody knows whether an agreement will come together before that deadline. House Speaker Mike Johnson has not committed to allowing a vote in the House.
Some Republicans in the Senate have shown interest in extending the subsidies. Josh Hawley warned in September that premiums could “skyrocket” and become unreachable for families if Congress fails to act. John Cornyn said subsidies for high-income households should be reduced.
Centers for Medicare and Medicaid Services Administrator Mehmet Oz said in a Fox News interview that the administration is already working on a plan to replace the outgoing subsidies. He said, “We have lots of great ideas,” although he added, “But I don’t want to show our cards. As the president often says, ‘Why would I telegraph to you what we’re going to do?’”
The fight over health care is still moving forward, and Trump is making it clear that he intends to guide the debate himself.
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