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Republicans grapple with voter frustration over rising healthcare premiums

The first caller on a telephone town hall with Maryland Rep. Andy Harris, leader of the House’s conservative Freedom Caucus, came ready with a question about the Affordable Care Act. Her cousin’s disabled son is at risk of losing the insurance he gained under that law, the caller said.

“Now she’s looking at two or three times the premium that she’s been paying for the insurance,” said the woman, identified as Lisa from Harford County, Md. “I’d love for you to elucidate what the Republicans’ plan is for health insurance?”

Harris, a seven-term Republican, didn’t have a clear answer. “We think the solution is to try to do something to make sure all the premiums go down,” he said, predicting Congress would “probably negotiate some off-ramp” later.

His uncertainty reflected a familiar Republican dilemma: Fifteen years after the Affordable Care Act was enacted, the party remains united in criticizing the law but divided on how to move forward. That tension has come into sharp focus during the government shutdown as Democrats seize on rising premiums to pressure Republicans into extending expiring subsidies for the law, often referred to as Obamacare.

President Trump and GOP leaders say they’ll consider extending the enhanced tax credits that otherwise expire at year’s end — but only after Democrats vote to reopen the government. In the meantime, people enrolled in the plans are already being notified of hefty premium increases for 2026.

As town halls fill with frustrated voters and no clear Republican plan emerges, the issue appears to be gaining political strength heading into next year’s midterm elections.

“Premiums are going up whether it gets extended or not,” said GOP Sen. Rick Scott. “Premiums are going up because healthcare costs are going up. Because Obamacare is a disaster.”

‘Concepts of a plan’

At the center of the shutdown — now in its fourth week with no end in sight — is a Democratic demand that Affordable Care Act subsidies passed in 2021 be extended.

Trump has long promised an alternative. “The cost of Obamacare is out of control, plus, it’s not good Healthcare,” he wrote on Truth Social in November 2023. “I’m seriously looking at alternatives.”

Pressed on healthcare during a September 2024 presidential debate, Trump said he had “concepts of a plan.”

But nearly 10 months into his presidency, that plan has yet to come. Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services, told NBC on Wednesday, “I fully believe the president has a plan,” but didn’t go into details.

Republicans say they want a broader overhaul of the healthcare system, though such a plan would be difficult to advance before next year. Party leaders have not outlined how they’ll handle the expiring tax credits, insisting they won’t negotiate on the issue until Democrats agree to end the shutdown.

A September analysis from the nonpartisan Congressional Budget Office estimated that permanently extending the tax credits would increase the deficit by $350 billion from 2026 to 2035. The number of people with health insurance would rise by 3.8 million in 2035 if the credits are kept, CBO projected.

House Speaker Mike Johnson told a news conference Monday that the tax credits are “subsidizing bad policy.” Republicans “have a long list of ideas” to address healthcare costs, he said, and are “grabbing the best ideas that we’ve had for years to put it on paper and make it work.”

“We believe in the private sector and the free market and individual providers,” he added.

A growing political issue

With notices of premium spikes landing in mailboxes now and the open enrollment period for Affordable Care Act health plans beginning Nov. 1, the political pressure has been evident in Republican town halls.

In Idaho, Rep. Russ Fulcher told concerned callers that “government-provided healthcare is the wrong path” and that “private healthcare is the right path.” In Texas, freshman Rep. Brandon Gill responded to a caller facing a sharp premium increase by saying Republicans are focused on cutting waste, fraud and abuse.

Harris echoed a message shared by many in his party during his Maryland town hall, saying costs are “just going back to what it was like before COVID.”

But the number of people who rely on Affordable Care Act health insurance has increased markedly since before the pandemic. More than 24 million people were enrolled in the marketplace plans in 2025, up from about 11 million in 2020, according to an analysis from the health care research nonprofit KFF.

Sara from Middleville, Mich., told Rep. John Moolenaar during his town hall that if health insurance premiums go up by as much as 75%, most people will probably go without healthcare. “So how do you address that?” she asked.

Moolenaar, who represents a district he handily won last year, responded: “We have time to negotiate, figure out a plan going forward and I think that’s something that could occur.”

Some Republicans have shown urgent concern. In a letter sent to Johnson, a group of 13 battleground House Republicans wrote that the party must “immediately turn our focus to the growing crisis of health care affordability” once the shutdown ends.

“While we did not create this crisis, we now have both the responsibility and the opportunity to address it,” the lawmakers wrote.

Some Republicans dismiss projections that ACA premiums will more than double without the subsidies, calling them exaggerated and arguing the law has fueled fraud and abuse that must be curbed.

Many Democrats credited their ability to flip the House in 2018 during Trump’s first term to the GOP’s attempt at repealing Obamacare, and they’re forecasting a similar outcome this time.

About 4 in 10 U.S. adults say they trust the Democrats to do a better job handling healthcare, compared with about one-quarter who trust the Republicans more, a recent AP-NORC poll found. About one-quarter trust neither party, and about 1 in 10 trust both equally, according to the poll.

A looming internal GOP fight

Even as GOP leaders pledge to discuss ending the subsidies when the government opens, it’s clear that many Republican lawmakers are adamantly opposed to an extension.

“At least among Republicans, there’s a growing sense that just maintaining the status quo is very destructive,” said Brian Blase, the president of Paragon Health Institute and a former health policy advisor to Trump during his first term.

Michael Cannon, director of health policy studies at the libertarian Cato Institute, said he’s working with multiple congressional offices on alternatives that would let the subsidies end. For example, he wants to expand the Affordable Care Act exemption given to U.S. territories to all 50 states and reintroduce a first-term Trump policy that gave Americans access to short-term health insurance plans outside the Affordable Care Act marketplace.

Cannon declined to name the lawmakers he’s working with, but said he hopes they act on his ideas “sooner than later.”

David McIntosh, president of the influential conservative group Club For Growth, told reporters Thursday that the group has “urged the Republicans not to extend those COVID-era subsidies.”

“We have a big spending problem,” McIntosh said.

“I think most people are going to say, OK, I had a great deal during COVID,” he said. “But now it’s back to business as usual, and I should be paying for healthcare.”

Cappelletti and Swenson write for the Associated Press. Swenson reported from New York.

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Leaders across the political spectrum denounce Charlie Kirk shooting, political violence

The Trump administration and the conservative movement were stunned Wednesday by the shooting of Charlie Kirk, a disruptive leader in GOP politics who accomplished what was once thought a pipe dream, expanding Republican ranks among America’s youth.

Inside the White House, senior officials that had worked closely alongside Kirk throughout much of their careers reacted with shock. It was a moment of political violence reminiscent of the repeated attempts on Donald Trump’s life during the 2024 presidential campaign, one official told The Times.

“We must all pray for Charlie Kirk, who has been shot,” Trump said in a post on Truth Social. “A great guy from top to bottom. GOD BLESS HIM!”

Kirk, a founder of Turning Point USA, was instrumental in recruiting young Americans on college campuses to GOP voter rolls, making himself an indispensable part of Republican campaigns down ballot across the country. That mission made his shooting on a college campus in Utah all the more poignant to his friends and allies, who reacted with dismay at videos of the shooting circulating online.

His impact, helping to increase support among 18- to 24-year-old voters for Republican candidates by double-digit margins in just four years, has been credited by Republican operatives as driving the party’s victories last year, allowing the GOP to retake the House, Senate and the presidency.

Democrats have recognized his prowess, with California Gov. Gavin Newsom hosting him on his podcast earlier this year in an appeal to young, predominantly male voters lost by the Democrats in recent years.

“The attack on Charlie Kirk is disgusting, vile, and reprehensible. In the United States of America, we must reject political violence in EVERY form,” Newsom said on X in response to the news.

As videos of the shooting circulated online, a number of prominent Republicans, including senior members of the Trump administration, reacted to the news by asking the public to pray for the young activist.

“Say a prayer for Charlie Kirk, a genuinely good guy and a young father,” Vice President JD Vance said in a post on X.

Atty. Gen. Pam Bondi said federal agents were at the scene of the shooting in Utah. FBI Director Kash Patel added the FBI will be helping with the investigation.

Wilner reported from Washington, Ceballos from Tallahassee, Fla.

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Bipartisan political remembrance shows how times have changed

They came to the baking desert to honor one of their own, a political professional, a legend and a throwback to a time when gatherings like this one — a companionable assembly of Republicans, Democrats and the odd newspaper columnist — weren’t such a rare and noteworthy thing.

They came to bid a last farewell to Stuart Spencer, who died in January at age 97.

They came to Palm Desert on a 98-degree spring day to do the things that political pros do when they gather: drink and laugh and swap stories of campaigns and elections past.

And they showed, with their affection and goodwill and mutual regard, how much the world, and the world of politics, have changed.

“This is how politics used to be,” Democrat Harvey Englander said after sidling up to Republican Joel Fox. The two met through their work with the Howard Jarvis Taxpayers Assn., a spawn of the Proposition 13 taxpayer revolt, circa 1978.

“We had different views of how government should work,” Englander said as Fox nodded his assent. “But we agreed government should work.”

Spencer was a campaign strategist and master tactician who helped usher into office generations of GOP leaders, foremost among them Ronald Reagan. The former president and California governor was a Hollywood has-been until Spencer came along and turned him into something compelling and new, something they called a “citizen-politician.”

Hanging, inevitably, over the weekend’s celebration was the current occupant of the Oval Office, a boiling black cloud compared to the radiant and sunshiny Reagan. Spencer was no fan of Donald Trump, and he let it be known.

“A demagogue and opportunist,” he called him, chafing, in particular, at Trump’s comparisons of himself to Reagan.

“He would be sick,” Spencer said, guessing the recoil the nation’s 40th president would have had if he’d witnessed the crass and corrupt behavior of the 45th and 47th one.

Many of those at the weekend event are similarly out of step with today’s Republican Party and, especially, Trump’s bomb-the-opposition-to-rubble approach to politics. But most preferred not to express those sentiments for the record.

George Steffes, who served as Reagan’s legislative director in Sacramento, allowed as how the loudly and proudly uncouth Trump was “180 degrees” from the politely mannered Reagan. In five years, Steffes said, he never once heard the governor raise his voice, belittle a person or “treat a human being with anything but respect.”

Fox, with a seeming touch of wounded pride, suggested Trump could use “some pushback from some of the ‘old thinking’ of the Stu Spencer/Ronald Reagan era.”

A folded American flag and presidential campaign schedules arrayed on a table

A flag flown over the U.S. Capitol in Spencer’s honor was displayed at his memorial celebration, along with White House schedules from the 1984 campaign.

(H.D. Palmer)

Behind them, playing on a big-screen TV, were images from Spencer’s filled-to-the-bursting life.

Old black-and-white snapshots — an apple-cheeked Navy sailor, a little boy — alternated with photographs of Spencer smiling alongside Reagan and President Ford, standing with Dick Cheney and George H.W. Bush, appearing next to Pete Wilson and Arnold Schwarzenegger. (Wilson, a spry 91, was among the 150 or so who turned out to remember Spencer. He was given a place of honor, seated with his wife, Gayle, directly in front of the podium.)

In a brief presentation, Spencer’s son, Steve, remembered his father as someone who emphasized caring and compassion, as well as hard work and the importance of holding fast to one’s principles. “Pop’s word,” he said, “was gold.”

Spencer’s grandson, Sam, a Republican political consultant in Washington, choked up as he recounted how “Papa Stu” not only helped make history but never stinted on his family, driving four hours to attend Sam’s 45-minute soccer games and staying up well past bedtime to get after-action reports on his grandson’s campaigns.

Stu Spencer, he said, was a voracious reader and owned “one of the greatest political minds in history.”

Outside the golf resort, a stiff wind kicked up, ruffling the palm trees and sending small waves across a water hazard on the 18th green — an obvious metaphor for these blustery and unsettled times.

Fred Karger first met Spencer in 1976 when his partner, Bill Roberts, hired Karger to work on an unsuccessful U.S. Senate campaign. (In 2012, Karger made history as the first out gay major-party candidate to run for president.)

He no longer recognizes the political party he dedicated his life to. “It’s the Trump-publican Party,” Karger said. “It’s no longer the Republican Party.”

But politics are cyclical, he went on, and surely Trump and his MAGA movement will run their course and the GOP will return to the days when Reagan’s optimism and Spencer’s less-hateful campaign style return to fashion.

His gripped his white wine like a potion, delivering hope. “Don’t you think?”

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