Millions of Americans are bracing for soaring health care costs after the US Senate on Thursday rejected rival Republican and Democratic plans to avert the expiry of key insurance subsidies -- a fight set to dominate next year's midterm elections.

President Donald Trump has remained largely disengaged from Capitol Hill negotiations, according to lawmakers in both parties, reluctant to spearhead a major health care push and de

Without action in the next three weeks, insurance payments for more than 20 million low- and middle-income Americans are projected to more than double, raising the political stakes as Washington edges into a campaign season defined by cost-of-living pressures.

Democrats were promised a vote on a three-year extension of enhanced Affordable Care Act (ACA) subsidies a

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