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The health care debate is back in Washington. It never really went away

Millions face higher costs after ACA subsidies expire, reigniting partisan disputes and sparking renewed calls for a public health insurance option, KFF polling shows two-thirds favor the ACA.

  • The health care debate has persisted across several US presidencies, with spending now comprising nearly 18% of the economy.
  • Republicans allowed Affordable Care Act subsidies to expire, prompting renewed debates over the government's role in health care.
  • While the Affordable Care Act expanded coverage, stakeholders disagree on reform approaches due to competing interests.
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The health care debate is back in Washington. It never really went away

The president was barely a year into his administration when a health care debate began to consume Washington.On Capitol Hill, partisan divides formed as many Democrats pressed for guaranteed insurance coverage for a broader swath of Americans while Republicans, buttressed by medical industry lobbying, warned about cost and a slide into communism.

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Breitbart broke the news in United States on Wednesday, January 14, 2026.
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