GOP Sen. Cassidy is pitching a new health care plan on the Senate floor as a way to get out of the shutdown: “A pre-funded flexible savings account worth as much as the premium tax credit they would receive” under Obamacare, he says

Nov 7, 2025 · 11:37 PM UTC

He says this would be taxpayer-funded and the $ go straight to Americans, rather than go through health insurance companies
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Cassidy says this program would cost “about the same amount” in the first year as the ACA enhanced subsidies
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Dem Sen. Cantwell asks Cassidy: How do you know the insurance market won’t increase premiums above the $ Americans would get under his new flex savings account? She suggests its too late to implement a new program when people are deciding on plans right now
Replying to @igorbobic
This is like employer flexible spending plans.. I like this better than ACA plan
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Replying to @igorbobic
Phenomenal idea! Brings back the "market mechanism" by turning clients into their own "gatekeepers". Allows for real savings that build over time, and can be used to later in life offset higher deductibles. When people are spending their own money, they will ask hospitals and doctors for prices, breakdowns of cost....and competition will return, dropping prices. Phenomenal! Sign me up!
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Replying to @igorbobic
wow a republican that actually mentions a plan
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Replying to @igorbobic
No. If americans are paying at the counters, the numbers weren't adjusted properly. If I can figure it out, surely a senator can... Right?... @grok?
Replying to @igorbobic
The underlying concept makes sense. This is not the forum for a cogent discussion.
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Replying to @igorbobic
Don’t FSAs run out after a year?
Replying to @igorbobic
Sounds legit , anything is better than Obamacare.
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Replying to @igorbobic
Why should taxpayers be responsible for ANY healthcare premiums other than their own family????? 😡
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Replying to @igorbobic
How would they get these savings accounts into the hands of Americans?
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Replying to @igorbobic
15 years after the creation of the ACA these Republican clowns are spitballing ideas on the Senate floor like it’s a brainstorming session among interns. Deeply unserious people.
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Replying to @igorbobic
Pre-funded flexible savings account are limited to paying for medical care, not insurance. Most people buy health insurance, not to pay for their annual doctor’s visit, but in case they need an expensive medical procedure. The GOP proposal: don’t get sick.
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Replying to @igorbobic
For goodness sakes - just let people without insurance from their employers buy a medicare plan, and pro-rate it based on income.
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Replying to @igorbobic
It’s still not insurance. Ok, we get the premium money, and then what? How do we get insurance?
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Where do we even start on that?
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Replying to @igorbobic
FSA accounts can only be used for medical expenses. Premiums with or without tax credits don’t count. Just one big expense to have a deductible which is greater than one would spend in a year without a hospital stay.
Replying to @igorbobic
You use the HRA to pay for monthly premium. But HRA is a reimbursement. You have to pay the premium, then file a reimbursement and then wait for the reimbursement. You do this every month. It's burdensome esp if outcome is same damn thing that insurance company gets same price.
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Replying to @igorbobic
Whatever! Extend the tax credits for one year and then work on a better bipartisan plan.
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Replying to @igorbobic
We need direct-to-provider or direct-to-network plans. The insurance business in the middle is the problem. Big Insurance needs to be gutted.
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Replying to @igorbobic
Cassidy is the same guy who appoved RFK jr for HHS Secretary. His judgment is very suspect.
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Replying to @igorbobic
Time to seriously invest in universal health care.
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Replying to @igorbobic
That’s a useless pitch. It doesn’t do anything now. It would have to go before the House and we all know they aren’t coming back for the foreseeable future.
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Replying to @igorbobic
and what happens when having a baby costs 40k?
Replying to @igorbobic
Come on @SenCassidy Medicare for All is the answer.
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Replying to @igorbobic
Anything is better than ACA which enriches the insurance companies.
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Replying to @igorbobic
I think it’s too late right now for a change. Let’s work together on a new healthcare plan for the country.
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Replying to @igorbobic
Universal healthcare or keep the subsidies. After all you guys get a 70% subsidy. Bigger than anyone.
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Replying to @igorbobic
He’s just bringing this crap now?
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Replying to @igorbobic
Excludes maintenance. Hospital beds. Bedpans? Who manages it? Requires infrastructure. Specialists? Recovery?
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Replying to @igorbobic
So instead of paying for insurance, you take a gamble that your healthcare costs are less than or equal to the premium you would have paid. Some will win that bet, many won't. And some of that that won't will go bankrupt, whereas if we just give them insurance they won't.
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