Biden, as part of the 2022 Inflation Reduction Act, largely resolved these problems, reducing maximum premium payments (net of subsidies) and eliminating the cliff at 400 percent. The result is to make health insurance coverage substantially more affordable, especially for middle-income Americans who previously earned too much to be eligible for subsidies. Hence the surge in marketplace enrollments.
Well, yeah, although that path is really risky. But they also don’t need a second Trump term to do that. In fact, the court has clearly gone rogue even from the Republican party, and appears ready to keep throwing out the rule of law as long as they can get away with it, whether the party wants them to or not. Republican leadership absolutely didn’t expect their radicalized court would actually, for real, reverse Roe, and the party is paying for it. Now is certainly the time to hit them hard and take full advantage of that, until the Democrats have a filibuster-proof majority and can’t make any excuses.