Looming health insurance spikes for millions are at the heart of the government shutdown

Washington – US government malfunction On Wednesday, when lawmakers, democrats insist After financing the governmentField

In the matter Tax benefits This has made medical insurance more affordable for millions of people after the pandemic Covid-19. Subsidies that go to people with low and average income levels who purchase medical insurance in accordance with the law on affordable medical care, the validity expires at the end of the year if Congress does not spread themTheir field expiration is more than half that the subsidized people who are currently paid for bonuses next year, according to KFF analysisA non -profit organization that explores healthcare problems.

The democrats demanded that the subsidies be introduced for the first time in 2021 and last a year later, and lasted again. They also want some kind of state bill on the abolition of Medicaid abbreviations in the president Donald TrumpMega-Bill This summer has passed that do not enter into force immediately, but already force some states to reduce Medicaid payments for medical workers.

Some Republicans expressed openness to expand tax benefits, recognizing that many of their voters will see cool increase in insurance premiums. But the party legislators in the Congress claim that negotiations on healthcare will take time, and the measure of stopping to finance the government is a more urgent priority.

A Records 24 million people They subscribed to the insurance coverage through the ACA, largely because billions of dollars in subsidies made plans more affordable for many people.

When expanding subsidies at the spot, some admission to lower income may receive medical care without insurance premiums, and high earnings pay no more than 8.5% of their income. The right to participate in the middle class is also expanded.

When tax benefits expire at the end of 2025, enrollment in the spectrum of income will see costs. According to KFF, annual prizes outside the pocket, on average by $ 1016, the next year.

The bill on the taxes and expenses of the Republicans, adopted this summer, includes more than 1 trillion US dollars for reduction Medicaid and food assistance Over the next decade, mainly by imposing new working requirements about those who receive assistance and transferring certain federal expenses to the states.

Medicaid programs that serve Americans with a low income level are registered approximately 78 million adults and childrenThe field of the Budget Department of the Bezpartisky Congress projects 10 million additional Americans in the next decade as a result of the legislation of the Republicans, between Medicaid and other federal health programs.

Democrats want to abandon Medicaid reduction to any state funding, while Republicans argue that reduction is necessary to reduce federal deficit and eliminate what, according to them, this is waste and fraud in the system.

Democrats insisted on extending subsidies for their health, it is necessary to agree immediately, since people begin to receive notifications of raising the premium for the next year.

“In just a few days, notifications will be released by tens of millions of Americans from a refusal of the Republicans to expand the tax benefits of the law on affordable medical care”, “Democratic leader of the House of Representatives” Hakim Jeffris He said on Tuesday on the steps of the Capitol of the United States.

He added that higher health care expenses that have encountered millions of Americans will appear “in an environment where the cost of life is already too high.”

In the White House on Monday, the leaders of the Democrats of Congress shared their problems in the field of healthcare with Trump. Senate leader of the Democrats Chuck Schumer After the meeting, he said that Trump “did not know” that so many Americans would see an increase in their health costs.

Republican leaders say that they handed the democrats an unsurpassed measure of Stopgap financing and claim that the democrats instead prefer to close the government.

“We did not ask the Democrats to swallow any new republican policy”, the leader of the majority in the Senate John Tyun He said after an unsuccessful vote on Tuesday. “We did not add partisan racer. We simply asked the Democrats to extend existing financing levels to allow the Senate to continue the work of bicopartican allocations that we started. And the Democrats of the Senate said no. “

Republican leaders proposed negotiations with the Democrats on ACA medical insurance subsidies, but only after they vote in order to keep the government open until November 21.

“I’ll go to Capitol right now to talk with Chuck Sumer and Democrats of the Senate about premium support for the law on affordable medical care, but only after they have again opened the government,” said the Vice -President of JD Vance on Wednesday at Fox News.

This may be easier to say than to do, since many Republicans in the Congress still strongly opposed the expansion of tax benefits.

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Svenson reported from New York.

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