The Purged
Donald Trumpβs destruction of the civil service is a tragedy not just for the roughly 300,000 workers who have been discarded, but for an entire nation.
For some reason, very few people these days will stand up and say it, but: the US federal bureaucracy is one of the great wonders of the world, staffed with incredibly diligent people who do their jobs well and care deeply.
Trump's destruction of the federal apparaus was a historic crime.
18.01.2026 19:16
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While Trump toys around with "concepts of a plan" and Senate Republicans sit on their hands, cuts to healthcare in Trump's "Big Beautiful Bill" are about to send insurance premiums SOARING.
Audrey from Massachusetts' Health Connector witnesses the damage first-hand:
16.01.2026 01:20
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NEW: Congress missed its chance to stop the Obamacare premium shock. But it can still undo some of the damage.
@citizencohn.bsky.social explains how a retroactive fix could work, whoβs standing in the way, and why every delay means more people lose coverage. lnk.thebulwark.com/4segki6?utm_...
16.12.2025 00:32
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"In the United States of America, access to affordable health care should not prevent anyone from starting a business, changing careers or being able to live the life of their choosing."
The ACA tax credits disproportionately benefit our small businesses. Congress must act.
10.12.2025 19:40
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Rep. Brian Fitzpatrick: "I've heard so many people in the Republican conference rail on the ACA, rail on Obamacare, rail on the premium tax creditsβ¦They have never offered a better alternativeβ¦They still have not been able to put together an articulable plan."
07.12.2025 13:58
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Proposals from Senators Scott and Cassidy to convert ACA premium tax credits into health accounts present trade-offs that benefit healthy people at the expense of sick people. Senator Scott's proposal, in particular, would destabilize the insurance market in some states.
www.kff.org/affordable-c...
21.11.2025 22:43
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The Affordable Care Act created a marketplace where consumers could use subsidies to help purchase private-sector plans. Trumpβs concept of a plan involves no such marketplace, plunging consumers into a state of nature
"Itβs so good ... Theyβre gonna feel like entrepreneurs" trib.al/7cyWvzQ
15.11.2025 21:45
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Thank you, Gov. Healey, for the chance to lift up the thousands of MA residents facing cost increases as a result of the loss of ePTC b/c of Congressional inaction. We hear daily from worried members β working parents, small biz owners, & people with complex medical needs - unsure of what to do.
10.11.2025 22:55
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Sen. Lindsey Graham β quoted here by Jake Sherman β objecting to ACA subsidy extension bc βit would enrich health insurance companies even moreβ
Republicans waged a relentless, decades-long campaign to privatize Medicare and Medicaid
They fought even mild efforts to expand public insurance
Now they are objecting to extending extra ACA subsidies, supposedly because money flows to private insurers
We are supposed to take this seriously?
08.11.2025 19:56
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This is, unsurprisingly, nonsensical. Is he suggesting eliminating health insurance and giving people a few thousand dollars instead? And then when they get a cancer diagnosis they just go bankrupt?
He is so unserious. That's why we are shut down and Americans know it.
08.11.2025 16:40
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With the mini-burst of proposals to replace enhanced PTCs with spending accounts like FSAs, keep in mind that this would *absolutely wallop* older people with middle incomesβsay a 63-year-old earning $65Kβwho are among the most dependent on enhanced PTCs. π§΅1/
09.11.2025 04:20
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The Republican Health Care Trap, Episode 78
As the shutdown drags on, the GOP croons its old tune: replacing Obamacare.
@citizencohn.bsky.social: "The string of empty promises of a supposedly fantastic, about-to-be-revealed GOP health plan has long been a running joke in Washington...that stretches back more than a decade."
Read the latest Breakdown @thebulwark.com: www.thebulwark.com/p/the-republ...
29.10.2025 00:40
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I hear from informed sources that these #NoKings rallies are more than twice as big as last time, making them easily the largest protests in US history. Thanks to everyone and especially organizers.
18.10.2025 20:22
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Higher Obamacare Prices Become Public in a Dozen States
"Based on the newly posted information, a family of four making $130,000 in Maine would face an increase of $16,100 in annual premiums next year...."
www.nytimes.com/2025/10/17/h...
18.10.2025 00:18
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Honored to join Senator Markey yesterday in Dorchester to raise the alarm on the threats to the Massachusetts health care system coming out of new federal policies & the risk of the looming expiration of enhanced ACA Tax Credits. Massachusetts residentsβ health and security are on the line.
11.10.2025 19:37
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Illegal Immigrants Are Already Getting Health Care Under Donald Trump
The program financing ER care for illegal immigrants has been around for four decades, and not even Trump wants to take it away.
Seems like a good time to revisit why we require hospitals to provide emergency care, no questions asked -- and why we help them with the costs.
And how the president who signed those provisions into law wasn't Joe Biden.
It was Ronald Reagan. www.thebulwark.com/p/government...
06.10.2025 13:33
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The Republican Shutdown Argument is a Giant Lie
No, Democrats arenβt trying to fund health care for βillegal aliens.β
"Not a single Democrat has talked about wanting to fund care for people in the United States unlawfully. Instead, what Democrats have said is they want to undo Medicaid cuts projected to leave nearly 10 million Americans uninsured." Eh, close enough!
01.10.2025 22:00
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These people have found their health care at the center of a shutdown showdown
Small business owners, self-employed people and early retirees are among the 24 million Americans who could lose the tax credit
Republicans would rather shut down the government than help millions of Americans afford health care. This article tells some of their stories, and is a good reminder of whatβs at stake.
28.09.2025 16:02
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Why are people screaming at a private citizen to do something about Gaza? Sheβs not in the White House anymore. Meanwhile, the President was in New York, as well. What power do you think she has now?
25.09.2025 00:21
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A Massive Health Care Shock Is Coming
And there is little timeβand maybe not enough will from Republicansβto avert it.
Republicans could allow the expiration of a Biden-era program that reduced premiums and got record numbers of Americans insured, but that might be risky after running so hard on consumer prices and the cost of living.
28.07.2025 22:00
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Difficult to capture just how much self-destructive policy β undermining long-term energy independence, killing new factory jobs, reversing historic gains in health coverage β Republicans have packed into this one bill
28.06.2025 23:27
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Statement just issued from our bipartisan coalition of State-based Marketplaces, urging the Senate to reject proposals in the reconciliation bill that will result in coverage losses and increased costs for the tens of millions of Americans that depend on ACA Marketplaces for their health care.
28.06.2025 00:30
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Opinion | The One Big Beautiful Bill would tangle Obamacare in red tape
Under the legislation now before Congress, millions of people would lose their health insurance.
Thank you to the Washington Post editorial board for shining a bright light on the very real threats to ACA Marketplaces hiding in plain sight in the reconciliation bill. www.washingtonpost.com/opinions/202...
25.06.2025 11:06
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Do You Have Obamacare or Medicaid Coverage? Tell Us About It.
As Republicans weigh steep cuts, Times reporters want to hear from people who rely on the Affordable Care Act or Medicaid for health insurance.
www.nytimes.com/2025/06/05/u...
19.06.2025 11:58
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Do Republicans Realize Whose Health Care Theyβre Cutting?
Their big beautiful bill is polling terribly, yet somehow Senate leaders may have just made it worse.
GOP leadership strategy so far has leaned heavily on speed and obfuscation
Does make me wonder how much lawmakers understand what theyβre voting onβor what itβd do to some of their own constituents
My latest for @thebulwark.com www.thebulwark.com/p/do-republi...
18.06.2025 12:13
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Do Republicans Realize Whose Health Care Theyβre Cutting?
Their big beautiful bill is polling terribly, yet somehow Senate leaders may have just made it worse.
@citizencohn.bsky.social: "For now, almost all elected Republicans seem content to keep going with their big beautiful bill. But they should be spookedβand maybe they will be, once they realize whatβs truly in there." www.thebulwark.com/p/do-republi...
18.06.2025 13:09
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