The Senate failed to pass a three-year extension on tax credits for the Affordable Care Act. But the only thing keeping it at all “affordable” was a flood of taxpayer money to conceal its true expense.
https://reason.com/2025/12/15/obamacare-subsidies-cant-fix-a-broken-system-rand-pauls-bill-could/
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Rand Paul’s plan is libertarian slop.
from what I read sounds like it wants to reduce state regulations. so yeah. bullshit enshitification. obamacares most significant thing is not pre existing conditions and requiring insurers to spend a minimum percentage of monies collected on healthcare which is pretty significant things. The only way to improve it is with single payer.