Why Democrats Are Casting the Government Shutdown as a Health Care Showdown

A few hours after the closure of the Federal Government, Hulio Fuentes stood steps from the US Capitol to convey an urgent message about the Latin American vote, which helped the Republican Party last year.

These votes, as he warned, are at risk if the Congress does not accept the law on maintaining lower bonuses according to the plans of the market for affordable medical services about 4.7 million people living in his native state of Florida, who are enrolled in the coating.

“Latin American voters helped to return Donald Trump to the White House,” said Fuentes, General Director of Florida, Latin American Chamber of Commerce, who called on the Congress to open the government to conclude a tax benefit deal. “Republican leaders would have acted correctly with their voters in order to maintain the coating affordable, and they will remember that they went to intermediate services.”

For the fact that many Americans took their medical insurance plans for the next year, for a month, the democrats in the Congress will attract state funding to put pressure on the Republicans to extend billions of dollars in federal tax benefits, which in recent years have sharply reduced insurance contributions and contributed to the record low levels of undigested Americans.

Democrats see in opposition to high rates a chance to talk about affordable medical care, since millions of Americans, including those that were enrolled in the insurance cover through the workplace or Medicare, are in charge for higher costs next year. Party leaders, hoping to return support from some supporters of the working class who left them, used the moment to remind voters of recent reductions, the Republicans approved some health care programs.

Republicans externally exude confidence that this approach will not find traction, recalling the public, that the Democrats forced the stop. But New analysis of KFF It shows that 80% of all premium tax benefits benefited the benefits of Trump enlisted in the States.

The closure coincides with the open season of registration: insurers are preparing to send notifications that disclose bonuses next year, about 24 million people registered in the ACA insurance coating. It is expected that the average credit will pay More than doubled If tax benefits remain. The insurers also said that they would have to sharply increase the price of premiums, because more healthy people refused the insurance coverage, since it will become more expensive, leaving the larger Americans pool – and less money to cover them.

“Over the next few days, you will see that more than 20 million Americans are experiencing dramatically increasing insurance premiums, surcharges and franchises from the republican’s reluctance to expand the tax benefits of the law on affordable medical care,” said the leader of the house of Hakim Jeffris on October 2 at the steps of the Capitol.

Open registration in most states begins on November 1. Some insurers and exchanges detained the sending of notifications that describe premium rates for the next year in detail, because they are waiting to see that they are unfolding in Washington. For example, Covered California, the state insurance market, plans to send notifications by mail more than millions of credits later than usual this year, October 15.

From his house in Richmond, Virginia, 31-year-old Natalie Tayer is looking forward to the arrival of his notification. She checks the state website daily to see whether new tariffs were published on her insurance plan.

Tayer relies on the market for more than a year for more than a year, while it has been working in an incomplete working day for a small video production company and receives a master's degree to become a school consultant. Tax benefits help cover $ 255 of its monthly bonus, which amounted to up to $ 53. Since it, as a rule, is healthy if the validity period expires, and its bonuses are significantly increased, it can even reduce the coating.

“I may have to go through without medical insurance, and perhaps I will have to rely on hope,” Tayer said.

Nevertheless, the desire of the Democrats in the Center is available for the availability of healthcare with many inconvenient realities of the closure of the federal government, which will leave millions of federal workers without salaries, prevents some functions of public health agencies and threatens food payments for low -income mothers, among other consequences.

Meanwhile, the ACA has been a political outbreak since 2010, when the Republicans fought against the adoption of iconic legislation on healthcare. Soon was a wave of republican victories in the Congress, which led to the closure of the government in 2013, when the Republican Party tried to get around the program. Party leaders again tried to cancel it in 2017 to fulfill the promise of Trump's campaign.

The last clash of billions of dollars in tax benefits that democrats issued during the Covid-19 pandemic to increase enrollment in the ACA boil for several months. Democrats who wrote the initial legislation introduced, and then expanding them, established expanded tax benefits to expire at the end of this year. This summer, even some Republicans began to warn that to allow these tax benefits to cause damage when the republican questionnaires Tony Fabrizio and Bob Ward give a note that warning loans can be important in the intermediate elections next year.

The expansion of ACA tax benefits, which reduced monthly insurance contributions to $ 0 for the poorer enabled and limited the amount, Americans of average income pay only 8.5% of their income, will also be a popular step.

More than three quarters of Americans want these tax benefits to continue, according to New survey KFF It is carried out before disconnecting. About 3 out of 4 people said that they would accuse Trump or the Republican Party, if ending. KFF is non -profit information about medical information that includes KFF Health News.

Although this year they refused to consider tax benefits, the leaders of the Republican Party made it clear that they were ready to extend the ACA tax benefits, but with new restrictions on who corresponds to them. The leadership of the Republican Party also stated that they want to identify the details of the policy for several weeks, and not under the weapon of shutdown.

On October 6, the speaker of the House of Representatives Mike Johnson accused the Democrats of the production of a political problem to close the government, and urged them to make a permanent decision only in order to “hold the light”.

“They decided that they would choose the struggle for healthcare,” Johnson said, adding that he believes that tax benefits are a “December 31 problem”, referring to the validity period expires.

Since the open registration will begin next month, insurers will need to start publishing prices for premium prices for customers in the window store in the coming days. Democrats argue that months of waiting, in order to conclude a deal that can change these prices, can stimulate wide confusion.

Although more and more Americans, by the same, violate Trump and Republicans for closing, only a quarter of people are convinced that the Democrats proposal to extend the ACA tax benefits should close the government, according to CBS News survey. On the weekend.

Health care, as a rule, is a victorious message for the Democrats, who struggled to unite questions who are addressing the working class in recent years, said William Pierce, health care consultant, who served as President George Bush.

“This is all about healthcare. They must do all this about healthcare, ”said Pierce, calling him a weak place for the Republicans. “They should just continue to talk about it, constantly.”

Republicans in the White House and Congress opposed In fact, dubious claims that democrats seek to expand free medical care of immigrants who do not have legal status in the United States

In fact, such immigrants do not have the right to participate in the market, and the Democrats did not offer to open them in their proposal.

Returning to Richmond, when Tayer is worried about her lighting for the next year, she bothered to see the debate on immigrants. Some of her classmates and colleagues are also concerned.

“The reality is that with these tax benefits there is that normal people – people who want to work in the public sector who want to teach children – we will also lose healthcare,” Tayer said.

The senior correspondent of KFF Health News Bernard J. Wolfson contributed to this report.

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