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 "It really upset me," said Westerman, 63, a self-described
"middle-class guy" with an annual household income of about $60,000
in the western Pennsylvania city of Arnold.
Westerman's change of heart reflects mounting fears among
middle-class Democrats and Republicans that their health insurance
costs will soar as Trump weakens former President Barack Obama's
signature healthcare law, which extended insurance to more than 20
million Americans.
Trump said last week he would stop paying the monthly subsidies,
which he has derided as a bailout of insurers. The money reimburses
insurers for discounts on deductibles, copays and other
out-of-pocket costs the firms still must provide under Obamacare to
low-income households.
Some insurers, anticipating that Trump would end the funding, had
already raised 2018 premiums on insurance plans under Obama's
Affordable Care Act to recoup those funds. Others withdrew from
Obamacare markets in many states because of the uncertainty.
"It seems like he is trying to hurt the middle class," said
Westerman, who is retired from a manufacturing company in
Pennsylvania, a state that Trump won by little more than 44,000
votes over Democrat Hillary Clinton. It was the first time a
Republican candidate had won Pennsylvania since 1988.
Westerman already pays $520 a month in healthcare premiums and about
$700 a month for his 21-year-old daughter's college tuition. "He
says he's going to make it better for everyone. How does a (premium)
increase make it better?"
A White House spokesman declined to comment and referred inquiries
to the U.S. Department of Health and Human Services, which did not
immediately respond to a request for comment.
Trump has called subsidy payments a "gift" for insurance companies.
His administration has argued that it cannot lawfully make the
payments unless Congress passes new legislation.
Some people said they were encouraged to see Trump deliver on a
campaign promise to dismantle Obamacare, after repeated failures by
congressional Republicans to repeal the 2010 law.
"I support the president because I think Obamacare is imploding and
it not only impacts those on Obamacare, but everybody," said Roger
Heuring, 58, who lives in New Jersey. Heuring is on an employer plan
but said his sister in Ohio buys insurance on the Obamacare market.
"Forget the president – it's the Congress's responsibility. They're
the ones that passed this mess to begin with," Heuring said.
In addition to cutting subsidies, Trump signed an executive order
last week that could eventually make it easier for Americans to buy
cheaper, bare-bones health insurance plans than required by
Obamacare.
On Tuesday, two senators struck a bipartisan deal to stabilize the
Obamacare market, including reinstating the subsidies for two years.
Trump initially said he might back the deal, but reversed course on
Wednesday, as senior Republican lawmakers spoke out against a plan
that might allow Obamacare to survive.
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Meanwhile, Democratic attorneys-general have asked a California
judge to intervene and direct the administration to continue the
payments until their legal challenge to Trump's cutoff is settled in
court.
The moves created new uncertainty over the subsidies, just two weeks
before Americans begin to enroll in Obamacare plans for 2018.
GRAPHIC-Obamacare subsidies enrollees http://tmsnrt.rs/2kL2RAq
MIDDLE-CLASS SQUEEZE
If the subsidies are not restored, some middle-income families and
small business owners who buy insurance on the Obamacare markets
could see their premiums rise the most, said Larry Levitt, health
economist at the Kaiser Family Foundation.
These include cash-strapped self-employed workers who rely on
Obamacare to buy insurance but make too much money to qualify for
government assistance. The very poor receive other forms of
government subsidies to buy coverage that shields them from premium
increases.
Karyn Feit, a self-employed mental health therapist in Philadelphia,
said a hike in premiums will strain her already-stretched finances
and force her to cut back on trips to Florida to care for sick
parents.
Feit, 47, and her husband together earn $100,000 annually, placing
her among America's vast tier of middle-income families. They bought
Obamacare individual coverage four years ago, when Feit left her job
at a hospital to start her own business, leaving her without
employer coverage. She has no children.
Her current monthly premiums are $391. She expects this to rise by
$80 a month after Trump's decision.
"The first thing I would have to cut is travel, and caring for other
people," said Feit, a Democrat.
Trump voter Stephen Lewis, 62, lost his job as a veterinarian in
Wisconsin and bought a health insurance plan under Obamacare. Lewis
still supports Trump although he said he fears that his premiums,
now $309 a month, could rise further with the subsidy cut, making it
harder for him to meet other expenses, including $611 in monthly
mortgage payments.
"It is a concern obviously," Lewis said.
(Reporting by Tim Reid and Yasmeen Abutaleb; editing by Jason Szep
and Grant McCool)
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