On Obamacare, Trump Already Showed Republicans the Way

Senate Republicans should quit trying to expand it. Expanding choice would create better, more affordable insurance — while preserving Obamacare for those who want it.

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Senate Majority Leader John Thune (R., S.D.) speaks to the press next to Sen. John Barrasso (R., Wyo.) and Sen. Mike Crapo (R., Idaho) after the Senate passes President Donald Trump’s sweeping spending and tax bill on Capitol Hill in Washington, D.C., July 1, 2025.

Annabelle Gordon/Reuters

Rising Obamacare premiums and disappearing subsidies mean that millions of consumers will soon have to pay significantly more for their health insurance. Fortunately, President Trump already ran a six-year test that demonstrated that restoring the freedom to choose non-Obamacare plans can provide access to quality, affordable coverage without destabilizing Obamacare — or expanding it, as some Senate Republicans propose.

Come January, 24 million Obamacare enrollees will see their premiums rise an average of 26 percent. Of those, 22 million will simultaneously see their premium subsidies shrink or disappear. Middle-income enrollees currently paying, for example, 0 to 10 percent of an already excessive premium may have to pay 10 to 20 percent of an even larger premium. Many wealthy enrollees will have to pay 100 percent of the new, larger premium.

Michael F. Cannon

About the Author

Michael F. Cannon

Michael F. Cannon is the director of health policy studies at the Cato Institute.

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