I’m Thankful for Senator Fetterman’s Health Care, but he’s Not as Thankful for Mine

John Fetterman was hospitalized last week, and has since been discharged. Thank goodness he’s ok. I think he’s a bad apple as Senators go, but we don’t cheer for people to die or be seriously hurt here. Apparently he was on a walk in Braddock and had a heart issue that made him light headed, then he fell, and he had wounds to the face. Again, we’re glad he’s alright.

Thankfully, John Fetterman has outstanding health insurance as a United States Senator. I think that’s a good thing. We invest tremendous actual power of every part of our lives in these 100 people, and we should want them to perform their duties at a healthy, high level and always get the care that they receive. A lot of people complain about the benefits the public *gives* to these 100 people. I don’t. We should want good people to want those jobs, and this is part of what you give good people to take them. Also though, everyone should have access to quality health care.

The government doesn’t give me care though, and that’s ok with me. Look, if we had national health insurance mandated on everyone, I’d probably be getting lesser care than I get for buying health care on the Affordable Care Act created exchange for Pennsylvania, Pennie. I pay full price (In 2025, $427 a month) for my plan, I’ve hit my deductible in consecutive years because of my health issues, and in exchange I have received first rate insurance that has saved my life and well being a couple times now. You get what you pay for, and that’s what I got. I don’t take the premium subsidies, because it then impacts your tax returns, and I don’t want them more complicated than they are. I just want access, and frankly this is much cheaper than I’d have been buying care for myself without the passage of Obamacare. I know what I’m getting into.

I do care about those people on the subsidies though, and there’s two reasons for that. One, I’m not some ghoulish nut who wants people in need to die. Second, self interest. Insurance companies set their rates based on how many people they think will buy for the year. When the subsidies became endangered this year, insurers assumed that less people will buy care for next year and keep it for the whole year. Because they thought they’d have less customers, but they wouldn’t pay out any significantly less amount, they raised rates on the people who are buying. Those rates are now set in stone for 2026. The subsidies are still a question. If those subsidies are not continued, more people will drop their care either before or during the next year. That will drive 2026 premiums up even higher. That will impact me a lot. It is in my interest that these folks get their subsidies.

The best chance for those subsidies to be continued was in the continuing resolution passed by Congress last week that ended the government shutdown. Eight Democratic Senators voted to pass the resolution without the subsidies. Now Democrats are hoping for a vote in December on a stand alone bill to fund those subsidies. Only the Senate is committed to even voting on that bill, and now it is not attached to any Republican priorities that they would *need* to care about. So Republicans in the Congress can kill it several different ways. Even 41 of the 53 Republicans could kill the vote by never allowing it to the floor. They could get 50 Senators to just vote it down and kill it at final passage. They could attach a bunch of amendments, such as on abortion, and damning the subsidies to be voted down even by Democrats. They could pass the bill in the Senate and House Republicans just never give it a vote. House Republicans might just decide to vote it down. Or they could pass it, and Donald Trump could just veto it. And it almost certainly won’t be able to be over rode in either house of Congress. So really the only chance Democrats have of getting the subsidies continued is to give the Republicans something else for it. That’s what the shutdown was supposed to be about. Republicans don’t need anything in December now, so Democrats will have to offer Republicans something they won’t like to pass this bill before the year ends. It was strategically stupid.

John Fetterman, who deservedly has great health care, was a leading proponent of voting to re-open the government. I’m glad he has great health care. If he is actually glad that I have good health care, he showed he doesn’t care very much. Protecting what 20 million of us have was not a priority for him like making sure the Trump government was funded. We can see his priorities. They are not priorities that apparently take the rest of us into account.

Chuck and the Democrats Bad Deal is Actually a Potential Disaster for Abortion Access in America

They really didn’t need to do it. I guess if you think keeping the government open was crucial, maybe you think they did. If you’re a federal worker, maybe you’re happy they did. Maybe if you’re on SNAP, you’re happy to get what you can here. It wasn’t necessary though. Republicans could have re-opened the government themselves by ending the filibuster. Eventually, when the government re-opened, federal workers would get back pay and SNAP would be restored at that time. Republicans could have done it and eventually would have to turn off the pressure on them from the public. Then they would have owned all the terrible things in this bill. They would have owned pricing a large chunk of the 20 million or so people insured under ACA plans out of the health insurance market. They would have owned the closing hospitals from their Medicaid cuts AND the cuts to the ACA subsidies. This is their government. They fought hard to win it and give it to President Trump.

Instead, the Democrats got absolutely nothing. The “promise” of a Senate vote on subsidies for ACA buyers in December isn’t worth the air used to utter it. It’s not a promise to pass it through the Senate, it’s not a promise to vote on it in the House, it’s not even enforceable to get a vote in the Senate. It’s a promise that is worthless and made for the naive. There are now those saying it’s brilliant because Speaker Johnson was forced to swear in Adelita Grijalva, thereby giving the signatures to force the discharge petition on the “Epstein Files.” Number one, we got the smoking gun without the vote even happening, but also, even Epstein’s own words implicating Trump are probably not going to move Republicans, and we are a day later and absolutely zero Republicans are calling on him to step down. We got everything we needed from a leak, the actual vote in Congress will probably be turned into a circus. We didn’t need to trade health care for it.

What’s worse is now the Democrats will get beat at their own game. Namely, Republicans are going to use health care to gut reproductive health services for women to the bone. By passing the CR, Democrats have acquiesced Medicaid spending levels set in the “Big, Beautiful Bill.” Those are going to gut reproductive health care for all Medicaid recipients. Of course, it doesn’t stop there. Republicans are demanding tougher abortion rules in exchange for voting for the ACA subsidies, which will probably kill the bill, but it might even be worse if it ends up passing. Namely, they want to stop states who mandate reproductive health care in their ACA plans. Basically they’re going to make the major blue states accept their version of “pro-life” health care. If Democrats say no, they’ll torpedo the bill. There are also discussions about just handing out the subsidies as cash, which could destroy the entire ACA system.

Insurance companies set rates mostly based on whether they think there will be less or more consumers in the market for the next year. Based on already passed legislation and executive orders in 2025, insurance companies raised their rates, because they think less people will buy next year. Those 2026 rates are set in stone. With the ACA subsidies that are in question, which cover people who just missed qualifying for subsidies in the original ACA, less people will drop their coverage for 2026. That would do a lot to help keep rates in line for 2027. The Democrats best chance to force Republicans to fund those subsidies for 2026 died with the passage of this Continuing Resolution to keep the government open. Their time to pass these subsidies with little to no strings attached has now officially expired.

Chuck Schumer is apparently calling 2028 Presidential contenders (his idea of contenders, but whatever) and begging them to not attack the deal. Gentlemen, unsolicited, free advice- bury the deal. Democrats should be hanging their entire brand on expanding health insurance access, bringing down housing and food costs, and childcare costs. Essential, building block things that people absolutely need to live. Keeping the government open is not the important thing. Keeping the focus on fixing real people’s problems should be the entire focus. Chuck, Fetterstein, a couple of future retirees, a dude from Virginia, and a couple of random Senators I didn’t expect to cave all failed the test. It’s time for a change.

Chuck Over Values the Government, Again

Chuck Schumer ended the government shutdown. Make no mistake about it. Republicans needed seven Democratic votes to re-open the government. They got eight. They even got two retiring Democrats who had no reason to walk the plank. The Democratic Caucus made sure the GOP got their votes.

There was absolutely no reason for it. Leave the government shut down. The Republicans offered absolutely nothing for those eight votes. The “promise” of a vote on subsidies for health insurance under the ACA is utter bullshit. There will likely not be a vote in the House ever, and it probably won’t pass the Senate either. The Democrats were offered nothing and took it. SNAP was gutted in the “Big Beautiful Bill,” so don’t tell me they needed to save that either, they’re saving a less than whole program (Which is already going to be a massive, massive problem). As for the federal workers, you make the GOP cave to pay them. They’ll get back pay then. Besides, in saving SNAP and federal workers from temporary pain, they’ve permanently lost a working health care system. It wasn’t worth the deal.

The politics are worse than the policy. Democrats won the 2025 Elections a month into the shutdown. Voters weren’t revolting against the Democrats. There was no price to pay. Not even a little bit.

Chuck Schumer and Senate Democrats overvalue the government. There’s no reason to keep it open, no reason to save it. It’s not doing much good right now. Society was not falling apart without it yet. Yes, I know government has a role to play, and it is important to our society working, but that’s in normal times. This idea that this government is as important as it was in say, 2022, is silly. It’s foolish. It’s misguided.

Democrats had the GOP’s backs to the wall. They are unpopular and were ineffective. You tell John Thune and the Senate GOP to either make a real offer or they get no votes. Restoration of the subsidies should have been a bare minimum to talk, not a guideline. Thune could always have just ended the filibuster and funded the government himself. Democrats didn’t need to sign off on this.

Happy Shut Down Day

The government is shut down. Good. The truth is that the Republicans are in the majority in both houses of Congress. They also hold the White House. If they want to fund this government, they should figure out a way. What is this government doing that someone who disagrees with Donald Trump should want to continue?

This fight is not about illegal immigrants getting health care from the government. That is illegal now, and does not happen on any meaningful level. Medicare and Medicaid have plenty of safe guards now against giving a policy to non-citizens. If you wanted to make sure those programs and the VA and ACA had literal zero illegal immigrants on policies, you’d give them more money, not less, so they could enforce it better. This is all just excuses from Donald Trump.

This fight is about the ACA and affordable health care in America. Cutting subsidies for premiums under the ACA simply will raise the amount of money people pay for a plan. If premiums are higher, less people will buy plans. Because less people are buying, plans will become more expensive people who buy plans. It’s a nasty cycle, and the reason most of the 20 million or so on “Obamacare” plans didn’t just buy an insurance plan before. The whole market is cheaper with more people on it. With less people insured, you get more people showing up at hospitals and clinics and receiving care they will never pay for. The hospitals and clinics then make up that money by charging insurers more for the people they are covering. Simply put, health care is cheaper on the micro (household) level with more people insured than less. Cutting subsidies to the ACA is a rate hike even for people like me, who don’t accept the subsidy.

Aside from the multitude of horrific things the current government is doing that Democrats should have no interest in paying for, there’s no point in screwing up the health care market because you don’t like the President who designed it. Keep the government shut down. If the Republicans want to fund it, let them figure it out. If they want Democrats to help, they can cave on health insurance premiums. Otherwise there is no harm in shutting it down and keeping it down. Democrats were voted out, we’re under no obligation to help them.