John,

The Senate vote to renew the enhanced ACA premium tax credits failed, paving the way for devastating out-of-pocket premium spikes and massive coverage losses next year. Insurers have already filed 2026 rates assuming congressional inaction, and for millions of people premiums will more than double. This is a political choice, and the Senate chose tax cuts for billionaires over affordable healthcare.

Here is what makes this betrayal even more infuriating. Based on Americans for Tax Fairness research, the very healthcare corporations hiking prices and denying care have dodged over $34 billion in taxes since Republicans slashed corporate rates in 2017. Their profits soared, their CEOs pocketed compensation packages of $20 million to $70 million, and wealthy shareholders were showered with billions in stock buybacks and dividends. Patients faced rising premiums, more denials, and more medical debt. That is the system the Senate just voted to protect.

Families are the ones paying the cost for this corruption. Roughly 20 million people will now see their premiums skyrocket without the enhanced tax credits, and millions more will be priced out of coverage altogether. These are parents managing chronic illnesses, older workers not yet on Medicare, and young families with tight budgets. Latino families are especially at risk. ACA participation among Latinos had grown nearly 160% under the enhanced tax credits―now estimates show that one million fewer Latinos will have coverage next year if the credits are not extended.[1]

It’s clear that communities nationwide are being sacrificed so the richest healthcare corporations can keep exploiting Trump-GOP tax loopholes and boosting shareholder profits. The Senate’s refusal to extend ACA tax credits is a handout to them and a gut punch to the rest of us. We need to fight back right now.

Donate $5 or more to power our reporting and activism and hold Congress accountable for this failure. Together, we’re demanding a tax code and healthcare system that serve the people, not profiteers.

This failed vote was the result of relentless lobbying by an industry that has mastered the art of profiting off human needs. The same companies that avoided billions in taxes are the ones denying life-saving treatments through prior-authorization schemes, overbilling government programs, and cutting staff while raking in record profits.

With the Senate refusing to renew premium tax credits, those same corporations will squeeze families even harder.

Healthcare corporations dodged tens of billions in taxes, used loopholes like the stock-options dodge and offshore subsidiaries to avoid paying what they owe, and funneled those savings into lavish CEO pay and buybacks for wealthy investors, all while premiums, denials, and medical debt exploded.

Americans for Tax Fairness Action Fund is leading the campaign to expose how corporate tax policy drives unaffordable healthcare, to demand Congress reinstate the ACA tax credits, and to push for reforms that close the loopholes fueling this crisis. But we can only sustain this fight with your support.

Please donate $5 right now to power our fight for affordable healthcare and a fair tax system that puts working families first.

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Together, we refuse to let corporate greed write our healthcare policy.

David Kass
Executive Director
Americans for Tax Fairness Action Fund