Donald Trump apparently seems to be boxed into a political situation as murmurs of revolt are taking place inside his own party, which has eventually led the Republicans to be concerned over the consequences that can be catastrophic in the 2026 midterm elections. The US citizens are already experiencing some of the highest medical costs in the world, with a bunch of people are now struggling with even steeper bills. Reports from the OECD say that patients are now paying more than twice as much for health, compared to the people of other countries and on top of that, situations might get worse.
And then comes the looming expiration of Affordable Care Act subsidies at the end of the year. Reports say that these subsidies help approximately 22 million Americans in affording health insurance, and their potential disappearance has exposed a divide between the working base of President Trump and the establishment of the Republicans, who are focused on letting the aid end.
Trump, who gets life-long government-funded healthcare, covering his expensive treatments for his deteriorating health, wants to drive more Americans into debt and die, so his for-profit health care donors can further exploit and price gouge sick people.
Demand Medicare for All pic.twitter.com/lv33ENribn
— Melanie D’Arrigo (@DarrigoMelanie) November 8, 2025
The Republican leaders can be stated as determined and are staying opposed to anything that has its relations with Obamacare. They insist that the subsidies must end on December 31. Not to mention that the approval rating of Donald Trump is already weak; however, they tried to sound flexible late Thursday, saying that the President might work with Democrats to attain a long-term solution. However, these just seem to be word of mouth concerning the years of attacks on the ACA, as well as restrictions on extending its benefits.
Eventually, that tension broke out earlier this week when four Republican senators came out of the ranks and backed a Democratic bill for extending the subsidies for three years. Though the effort didn’t work out but the message was loud and clear. “I hope the message is, ‘We need to do something here,’” Missouri Senator Josh Hawley said after the vote. “We’re all under pressure.”
Donald Trump loves to own things and stick his name on them. Well, now he owns the American health care system. Millions losing coverage. Americans paying more for insurance. Everyone having to drive longer and wait more time for care. That is Trumpcare. pic.twitter.com/yMx5K2rFWr
— Congresswoman Sarah McBride (@Rep_McBride) November 13, 2025
And to be honest, the pressure is something more than people can comprehend. According to the health policy experts, if Congress doesn’t come to the rescue, monthly premiums for families all over the country who receive enhanced tax credits could more than double. Estimation given by the average marketplace premiums might jump by 26 percent.
And all these have been spilled into the White House, where Republicans are openly defying Speaker Mike Johnson. They have engaged with the Democrats for executing procedural moves that can force votes to extend the subsidies, and they fear voter backlash too in case prices take a hike on Trump’s watch.
