Former President Donald Trump in Palm Beach, Florida on July 26, 2024

Scuttling bipartisan efforts to extend the Affordable Care Act subsidies that are set to expire at the end of the year, President Donald Trump on Tuesday declared he will not support any legislation to do so. The withdrawal of the Obamacare subsidies has sent next year’s premiums soaring for millions of Americans, and millions are expected to lose coverage due to the high cost.

In an all-caps post on his Truth Social website, the president announced that the only health care he would support “is sending the money directly back to the people, with nothing going to the big, fat, rich insurance companies.”

“The people will be allowed to negotiate and buy their own, much better, insurance. Power to the people!” he added.

Insurance companies are not known for negotiating premiums, and individual policies historically are far more expensive than group policies, such as those obtained through an employer or via the Obamacare exchanges.

Noting that “senators are preparing to tee up a vote on the issue,” Bloomberg News reported that Trump’s message is now “complicating his party’s efforts to address health care costs.”

During the federal government shutdown, Democrats highlighted the issue of skyrocketing premiums and negotiated a deal with Senate Republican Majority Leader John Thune for a vote to extend the subsidies.

“With millions of Americans facing a potential hike in their premiums and with concerns about affordability front and center among the electorate, Democrats are seizing on the issue,” Bloomberg noted. “Republicans now face the challenging prospect of either bucking the president and extending subsidies or finding another solution to the issue of health-care costs, an issue that has long vexed lawmakers.”

House Democratic Minority Leader Hakeem Jeffries responded, saying: “Republicans created this healthcare crisis, and they continue to try to rip affordable healthcare away from the American people,” according to Bloomberg News’ Erik Wasson. “They are who they are, and the American people know it, and they’re gonna pay the price.”

Politico reported on Tuesday that a “senior White House official said the Trump administration intends to put forward a health bill and left open the possibility of using the fast-track legislative process of reconciliation for passage of health or tariff legislation.”

Critics blasted the president’s refusal to support extending subsidies.

“He’s for them, Not for you,” declared U.S. Senator Ruben Gallego (D-AZ).

“Trump’s priority isn’t your health or your costs, it’s his ego,” commented House Ways and Means Committee Democrats. “He’ll watch your health care costs triple just to erase the name Obamacare.”

“Between their trillion dollar cut to Medicaid and their elimination of boosted ACA tax credits, Donald Trump and the GOP will be responsible for millions of Americans losing health coverage and tens of millions more paying much higher costs,” wrote economic policy expert Michael Linden. “Crazy, totally crazy.”

“Senate Democrats who voted to end the shutdown got played. Shocking,” remarked political strategist Andrew Laureti.

“Trump’s made some curious decisions in the past few weeks, but nothing more consequential than deciding that instead of finding some middle ground on Ocare subsidies they’re gonna go in the entire opposite direction and try to jam through their own health care bill,” The Bulwark’s Sam Stein noted, responding to the Politico report. “Wild stuff.”