18 Comments
User's avatar
Arkansas Blue's avatar

Yesterday I received a notice from my Medicare Part D insurer. My monthly rate will be going from $23.50/month to $73.50/month! Isn't America great under triple fascist leadership?

Arkansas Blue's avatar

BTW, that's a 217% increase!

Arkansas Blue's avatar

Correction: It's a 313% increase, not 217%.

Float The Buoy's avatar

America is about to enjoy libertarian health care. Ability to pay will predicate care availability. If you can’t pay you will not be treated—after all if Americans would just work hard and earn their keep they wouldn’t have these problems. Physicians will eventually fall into two groups, the group who remain part of the hospital/managed care environment and those who provide health care independent of rapidly rising establishment costs. It will create a two tiered system, one for upper middle class and wealthy people and another for the working poor who will begin to die of previously treatable ailments because their ability to pay will dictate survivability. Physicians will compete for ever declining population of paying patients with insurance and the rest will treat the poor for a variety of reasons at a reduced income or even barter. This is not a question of if but a question of when. Insurance companies will demand a greater and greater percentage of patients income to offer stripped down coverage to maintain profit margins while the rest of Americans simply die younger for lack of basic care…

NGH's avatar

The rural areas voted overwhelmingly for Trump.... they bought the package and now will have to live with it...

Annie D Stratton's avatar

That's pretty dismissive. There are a lot of people who will be hurt by this, both urban and rural. Trump was not elected by rural people, but by a bare plurality of voters everywhere- he won the electorial college by focusing on states with a lot of electoral votes. That's not rural. Many of the people in rural districts were gerrymandered so their votes were meaningless. How arrogant of you to assume that somehow they deserve to be looked down on.

Judith Swink (CA)'s avatar

Everyone, of whatever party, are and will continue losing coverage as well as losing local clinics and rural hospitals which cannot survive without the income they depend on from Medicaid/Medicare.

Dani Smart's avatar

I wrote about this recently and include my own experience with owning a small business and having to buy insurance on the open market for the past 20+ years. The self-employed, those who work in the gig industry, and even those with company subsidized health insurance are really going to hurt within the next few months. It will be interesting to see how folks respond when this gets personal.

https://danismart.substack.com/p/the-ripple-effect-how-one-law-is?r=1c5095

Michelle Jordan's avatar

Going to find out October 1st on open enrollment. Don’t really look forward to it either.

The Wagging Finger's avatar

Not to mention that this incredibly expensive product (health insurance) is also perhaps the only product that you pay for, and it is hugely costly, and then when you want to use it the product works very hard for you to not be able to use it. Can you imagine buying a car and then you go to drive it and it says you can't? How did we let them get away with this? Health insurance is like mafia protection. You have to pay it, but the benefits may or may not be there and it is mysterious, arbitrary, and criminal. The high cost is the smaller part of the equation. The larer part is not getting what you paid for and an industry whose soul purpose is to skim off the top and profit off your sickness.

NGH's avatar

All that winning is great so far..... thanks dear leader....

Marc Panaye's avatar

"Your health insurance is about to go up. Way up. Here's why."

It likes pedophiles and hate speech and ugly fake golden ornaments. It is called trump.

debra's avatar

The generalization that rural districts are primarily Republican holds true across the United States in recent elections, with the partisan divide between urban and rural areas growing more pronounced over the last two decades. Maybe those voters need to feel the pain of Trump's authoritarianism. As long as they don't continue to get brainwashed into thinking Biden made their premiums skyrocket, maybe we can turn a lot of those misinformed people BLUE!

Debbie Davis's avatar

I pay $99 per month for my supplemental Medicare coverage plan through Kaiser. That's nothing compared to the roughly $800 per month that I paid before I was on Medicare, when I didn't have jobs. Even on top of my $185 per month Medicare premium, that's a bargain compared to the average annual health care expenditures per person, which is over $15,000 per year now in the U.S. per the A.M.A. If we don't pay for our own health care, someone else (including taxpayers) may be asked to, so I've always had health insurance even when without work -- it's just another expense that we have to budget for.

patricia's avatar

I think america is about to close

Deepak Puri's avatar

Your blog inspired this StoryMap in which I have cited you. Great article!

How much more will your health insurance cost because Republicans slashed ACA (Obamacare)? Check this map.

https://thedemlabs.org/2025/09/18/republicans-slash-aca-obamacare-health-insurance-rates-spike/

Sara M's avatar

The premium increases aren't limited to ACA users. The premiums on my Medicare drug plan are going up $50 a month.

Irena's avatar

I already see larger than usual increases for my 2026 drug plan and my supplemental health plan.