The 11th Hour with Stephanie Ruhle

Senate rejects health care bills as premiums are set to spike for millions next month

Dec 12, 2025
David Drucker, a senior writer and political commentator, shares insights on the Republican Party's struggles with healthcare legislation. U.S. Representative Jake Auchincloss discusses the potential impacts of subsidy expirations on his constituents and outlines innovative tech reforms. Meanwhile, Rabbi Marc Schneier emphasizes the importance of fostering empathy and interfaith relations amid rising tensions in NYC. Together, they unpack major political challenges while exploring community connections and future media trends.
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INSIGHT

ACA Popularity And The Looming Subsidy Cliff

  • The Affordable Care Act is now widely used and the public increasingly supports it despite past Republican branding as "Obamacare."
  • Expiration of enhanced subsidies will push millions off coverage and sharply raise premiums for many.
ADVICE

Prepare For Subsidies Expiration Now

  • Plan for a likely December 31 expiration of enhanced ACA subsidies since Congress won’t likely act in time.
  • Expect about 4 million people to lose coverage and prepare local programs accordingly.
INSIGHT

No Clear White House Plan Exists

  • The White House has discussed concepts but lacks a concrete, Hill‑ready plan to replace or extend subsidies.
  • Political splits among Republicans make navigating a short-term fix politically fraught.
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