How many Americans would lose health care coverage under the Republicans' megabill? [View all]
Would the GOP package take health coverage from 10.9 million, 14 million or 16 million? The answer is a little wonky, but it matters.
ð¤How many Americans would lose health care coverage under the Republicansâ megabill?
ð£ï¸And that is where the overall tally comes from: 7.8 million + 4 million + 4.2 million = 16 MILLION
www.msnbc.com/rachel-maddo...
— Liberte_NY ð½ (@liberteny.bsky.social) 2025-06-09T19:45:38.242Z
https://www.msnbc.com/rachel-maddow-show/maddowblog/many-americans-lose-health-care-coverage-republicans-megabill-rcna211856
That mightve sounded encouraging to health care advocates, but theres overwhelming evidence to the contrary. A report from The Associated Press, for example, on the latest Congressional Budget Office score, said that 10.9 million Americans would lose their coverage if the GOP legislation became law. Democratic Sen. Elizabeth Warren of Massachusetts, however, said nearly 14 million would join the ranks of the uninsured.....
Meanwhile, a variety of prominent Democrats, including House Minority Leader Hakeem Jeffries, have said the actual number would be 16 million.
So, which is it? I reached out to the nice folks at the Center on Budget and Policy Priorities to help sort this out, and they referred me to the CBPPs helpful breakdown of the data.
Roughly 16 million people by 2034 would lose health coverage and become uninsured because of the Medicaid cuts, the bills failure to extend enhanced premium tax credits for ACA marketplace coverage, and other harmful ACA marketplace changes, according to estimates from the Congressional Budget Office (CBO).
This gets a little wonky, but according to the CBOs nonpartisan analysis, the Republicans Medicaid cuts alone, if implemented, would strip coverage from 7.8 million people. The same analysis added, however, that 4 million people would become uninsured due to cuts to Affordable Care Act marketplaces, and an additional 4.2 million people would lose their coverage because the Republicans package fails to extend the Biden-era subsidies (the premium tax credit enhancements) that made ACA plans far more affordable.
And that is where the overall tally comes from: 7.8 million + 4 million + 4.2 million = 16 million.....
Eight years later, theres a reason the new Republican plan is being derided as Obamacare-repeal lite: Scrapping coverage from 16 million is certainly within shouting distance of ending coverage for 23 million, especially given the fact that the GOPs reconciliation package isnt exclusively a health care bill.
To date, no Congress has ever approved legislation that would force so many people to lose their health security. Watch this space.