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 This is the primary reason trump will not let republicans open govt. | 
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 I got this. Let's say your premium is $5,000 a year with subsidies and $9,000 withour subsidies? (just as an example) WHO is making up the $4,000 difference to pay the subsidy. Yes, I know... the government. But who is really paying it? The income tax payer. So while you say millions will lose coverage, millions also won't have to pay for the health insurance of a complete stranger. BTW, why do you mention ACA in one sentence and medicare in the next? Did you mean medicaid? | 
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 This is why - CBO report https://budget.house.gov/imo/media/doc/cbo_on_medicaid_for_illegal_immigrants.pdf | 
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 We can use that extra tax money to send it to Argentina or Israel. | 
| Lower income people who don't pay taxes are paying the full premium, more than they earn? | 
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 Your big explanation is that the taxpayers pay the costs? Gee, thanks for the deep insight. Who do you think pays the health care costs for uninsured people? Yes, taxpayers. Except then the costs are higher. Subsidies are probably not the best long term answer -- too much it accrues goes to the insurance companies. The whole system needs an overhaul. But in the near term, subsidies are the best option we have for keeping our neighbors semi-healthy at lowest cost. | 
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 You can't just wave a magic wand and declare everyone legal to suit your narrative. More to the point, why are you putting citizens on the hook for illegal aliens under the game of "lawfully present". What gives you the right to confiscate the pay of workers for the illigitimate functions of government? I'm not put on this earth to constantly support your hopes, dreams and aspirations. I have a limited time on this planet, some of it spent working to support people I choose to and the legitimate functions of government. Stop stealing my time on this planet to support your wishes through the arbitrary redistribution of income. You should have known better than to throw the border w1de open and insist on unlimited health care to complete strangers. It's unsustainable. You know that word, right? It's one of your favorites. | 
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 I'm not down with near-term. That's how we get budget battles every damn year and nothing changes. It should be purposely broken so it requires fixing from the ground up. I would like to see market based solutions and get rid of subsidies, which just makes companies richer because they see pots of money from the tax payer to tap. They raise their prices to soak up all that "free money". It's total BS at this point. | 
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 Think about this. Just think about it for a couple of minutes. If you are so low income that your tax return means that you have an effective tax rate of $0 - is it likely that you are paying for health insurance on individual exchange? It’s unlikely. It’s likely that you are on Medicaid. | 
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 Swell, you get together a proposal that you are 'down with.' If you have a magic solution, I'm sure Congress would be happy to pass that asap. Most of would support an effective market-based solution. Of course, healthcare has many scenarios where free market principles break down, so "effective" is the hard part. It is tricky, which is why most developed countries have single-payer healthcare (not my preference, either) and why healthcare has been at the forefront of US policy debates for *decades.* But no matter. Let's let people needlessly die of poverty and avoidable crises while we wrangle about the perfect solution into infinity. | 
| What is hurting more American citizens today, the shutdown, or subsidies set to expire 12/31/25? If a patient is having a heart attack you don’t ignore them to talk to another patient about lowering their cholesterol. | 
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 The expiration of subsidies will impact millions. The shutdown doesn't impact that many for the moment. When it does, we'll see who blinks first. | 
| Like Elizabeth Warren said, we're stuck at the moment with a bleak choice between food or healthcare. | 
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 The key word is WILL. There is time to negotiate on healthcare. The shutdown is now. | 
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 This is a partial shutdown that is not hurting any republican constituency. Republicans want to fire all government employees. Your made up scenarios is not relevant. Republicans are happy with no government. Democrats are happy with the government shutdown because it stops Trump. This shutdown could go to the midterms. One thing that is clear contractors will not get paid for by of this. |