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EdmondDantes_

(1,182 posts)
4. Where does he think the ACA subsidies are going to?
Wed Nov 19, 2025, 11:41 PM
Wednesday

They go to insurance companies and then the vast majority goes to providers and drug companies.

Also given the ACA requirements on medical care spending, any excess money has to be returned to the customers. So insurance companies don't have a lot of incentive to overcharge compared to what they spend on medical care since they don't get to keep it.

Neither the ACA or whatever Republicans are offering are addressing the root causes of medical care being expensive. Pharmacy costs and medical usage is why insurance premiums are going up. Neither extending the expanded ACA subsidies or the HSA thing Republicans want address that. Other than the HSA thing making people get less medical care because they can't afford it, but strangely given people enjoy living, they eventually have to get care, often when it's more expensive and less likely to work.

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