Ronald Brownstein, Columnist

Mapping the Political Fallout of GOP Health-Care Cuts

December 10, 2025 at 11:00 AM UTC

Ronald Brownstein is a Bloomberg Opinion columnist covering politics and policy. He is a CNN analyst and the author or editor of seven books.

Republican or Democrat, we all need health care. — Republican or Democrat, we all need health care.
Photographer: Spencer Platt/Getty Images

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The GOP’s cuts to federal health-care spending are likely to be a marquee issue in next year’s midterm elections. And this week, Senate Republicans are poised to significantly increase the number of states and House districts where Americans will feel the bite.

In a vote scheduled for Thursday, Senate Republicans are virtually certain to block the extension of the enhanced subsidies that former President Joe Biden and Congressional Democrats passed to lower the cost of purchasing private insurance through the Affordable Care Act.