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PhreeNews > Blog > World > Politics > Former Republican congressman on why it is so onerous to get bipartisan consensus on healthcare : NPR
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Politics

Former Republican congressman on why it is so onerous to get bipartisan consensus on healthcare : NPR

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Last updated: December 14, 2025 2:48 am
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Published: December 14, 2025
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Fred Upton, a former Republican congressman from Michigan, discusses the Senate’s failed well being care votes and the political fallout of rising insurance coverage premiums.

MILES PARKS, HOST:

With out an extension of federal subsidies, People who buy medical insurance by the Inexpensive Care Act – often known as the ACA – might see their month-to-month prices skyrocket in January. This week, two payments to keep away from these premium hikes died within the Senate. And final night time, Speaker Mike Johnson unveiled a last-minute Republican plan, which Democrats referred to as, quote, “utterly unserious.”

So why is it so onerous to get bipartisan consensus on well being care? Former Republican Congressman Fred Upton from Michigan has spent loads of time fascinated by simply that query. Again in 2017, he was a part of a committee that attempted and didn’t provide you with an alternative choice to the ACA. I referred to as Upton to attempt to make sense of the present negotiations on the hill.

FRED UPTON: To begin with, you recall nearly two weeks in the past, the Trump administration was going to unveil their very own well being care proposal that they thought was going to work, and it bought shot down earlier than it was even offered. They stated, you possibly can’t probably try this. You’ll be able to’t probably prolong the ACA subsidies. That will be mistaken. And they also pulled it again. You realize, we did not see any proposal come out from the administration.

You have bought about 15 or 20 Republicans within the Home – Brian Fitzpatrick from Pennsylvania, Don Bacon from Nebraska – and others which were prepared to say, let’s work collectively. Let’s discover some Democrats and work collectively on a proposal. They usually’ve been purchasing with the speaker and others. They’ve truly bought, I feel, a reasonably sound proposal. I might be with them if I used to be nonetheless within the Congress. However you’ve got bought 15 Republicans or so which might be prepared to work with the Democrats to really get one thing achieved, and so they know that within the brief time period – the following yr or two, till you get a substitute peace (ph) – you bought to proceed these subsidies versus fall off the cliff on January 1.

However that is run into actual – we’ll name it resentment, actual opposition for positive, among the many hardcore conservatives within the Home. They do not need something to do with it. They need to repeal – you already know, let’s have one more vote to repeal Obamacare. So they are not going to budge.

PARKS: Do you suppose that is going to matter within the midterms?

UPTON: It would matter. It is going to matter huge time. And for the Democrats, it is going to play out, I feel, fairly nicely. They will have the ability to level not solely to the 20 million which might be going to have fairly sizable will increase within the discount within the – of the subsidy. And with no resolve, you, the voter – you are going to be offended. And so, you already know, we have seen already simply a few of these particular elections. The mayor of Miami – final week, it flipped after 30 years from a Republican to a Democrat. We’re seeing these particular elections.

So yeah, the warning indicators are there for a foul scenario for Republicans, and that is going so as to add to it as a result of Congress did not cope with the disaster that is upon them, and it is going to hit the pocketbooks of tens of millions and tens of millions of individuals.

PARKS: I additionally marvel if this simply implies that this affordability message can be not going away by way of, is that going to be, in your eyes, the principle storyline of the 2026 midterms?

UPTON: Properly, it will likely be. I imply, you’ve got bought power prices. I imply, I am taking a look at electrical energy prices going up, actually in my state. You realize, many of the grocery retailer objects that you just see, it is like, holy cow, it wasn’t like this a number of months in the past. You have bought espresso costs which might be up, and we’re all glad the tariffs are coming off on espresso and bananas, issues that we do not produce right here.

So yeah, it is going to be a tricky election with affordability being one of many high points, in addition to the well being care wants, and, you already know, persons are grousing. So there’s time. I am nonetheless – you already know, I am a Republican. I am nonetheless an optimist. I am a Cubs fan. And, you already know, (laughter) we’ll see what occurs.

PARKS: That is former Congressman Fred Upton, a Republican from Michigan. Thanks a lot for becoming a member of us.

UPTON: You wager.

(SOUNDBITE OF MUSIC)

Copyright © 2025 NPR. All rights reserved. Go to our web site phrases of use and permissions pages at www.npr.org for additional info.

Accuracy and availability of NPR transcripts could differ. Transcript textual content could also be revised to right errors or match updates to audio. Audio on npr.org could also be edited after its authentic broadcast or publication. The authoritative report of NPR’s programming is the audio report.

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