To Be Equal: Government Shutdown Could End Today With a Commitment to Protect Americans’ Access to Health Care

“What is at the center of this fight? … 20 million Americans are going to see their health care costs skyrocket. Fifteen million people are going to be jettisoned from Medicaid. They’re going to decimate Medicaid. This is historic. This has not happened in U.S. history. In addition, your hospitals were shut down. Nursing homes shut down, clinics.”

—U.S. Rep. Rosa DeLauro

If the Affordable Care Act’s enhanced premium tax credits are allowed to expire, premium payments for the more than 20 million Marketplace enrollees will more than double in 2026. At least 4 million Americans could lose health care coverage altogether.

If the healthcare cuts in the “Big Ugly Bill” are allowed to stand, 700 rural hospitals—one in three—could shut down, and another 15 million Americans could become uninsured.

Legislation pending in Congress could prevent this catastrophe and end the government shutdown that is devastating families and communities across the country.

It’s no wonder the Trump administration and its allies in Congress would rather fear-monger with lies about undocumented immigrants than confront the facts.
 
The fact is, as long as the shutdown continues, local communities are losing access to over $60 billion in federal funding, jeopardizing essential services and infrastructure.

The fact is, veterans are being denied transition assistance, career counseling, and outreach. Families aren’t even able to place headstones at their loved ones’ graves in veterans cemeteries. Active-duty military families, many of whom already struggle to make ends meet, are working without pay, making it harder to cover basic living expenses.

The extremists in the White House and Congress are willing to deny nutrition assistance to mothers and children who rely on the WIC program … to withhold surgeries and treatment from patients at military treatment facilities … to delay progress on life-saving research and public health initiatives at the NIH and CDC … to disrupt Social Security and Medicare services for seniors and vulnerable populations … to jeopardize the health and safety of our workforce while Occupational Safety and Health Administration inspections are ceased.

And all of this is happening in defense of a crusade to strip health insurance from millions of working-class Americans and leave vast swaths of the country without access to critical care.

To be clear: unauthorized immigrants are ineligible to purchase health insurance on government exchanges established by the Affordable Care Act. They are ineligible for Medicaid, Medicare and the Children’s Health Insurance Program. The legislation that could prevent the health care catastrophe and end the government shutdown does not make them eligible for these programs. Anyone who claims that it does is not telling the truth.

The government shutdown is not simply a conflict between conflicting political ideologies. It’s a conflict between fact and falsehood. It’s a conflict between responsible stewardship of public resources and a reckless grasp of those resources for billionaires. We can continue to fuel bitter partisan division while working Americans continue to lose ground to the wealthiest among us, or we can work together toward and equitable, stable, and healthy future.

—October 4, 2025

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