GOP Districts’ Rising Obamacare Use Is Risk in Shutdown Fight

Oct. 3, 2025, 5:08 PM UTC

The health insurance subsidies at the center of the US government shutdown fight disproportionately benefit areas of the country represented by Republican lawmakers, posing a potential vulnerability for President Donald Trump’s party in next year’s midterm congressional elections.

Twelve million Americans in Republican-held US House districts are covered by health plans purchased through Affordable Care Act exchanges versus nine million living in Democratic-held districts. Of the 75 districts where at least 10% of the people are enrolled in Obamacare policies, 47 are represented by Republicans in the House, according to 2024 data compiled by KFF, a nonpartisan health research ...

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