Government shutdown: Vance says ‘fraud’ is rife in ACA tax credits use

North America
Source: CNBCPublished: 10/12/2025, 15:28:02 EDT
Government Shutdown
Affordable Care Act
Healthcare Subsidies
Health Insurance
Trump Administration
U.S. Vice President JD Vance speaks during a press briefing in Washington, D.C., U.S., Oct. 1, 2025.

News Summary

U.S. Vice President JD Vance stated on October 12, 2025, that there is "a lot of waste and fraud" in the Affordable Care Act (ACA) tax credits, which are central to the congressional funding stalemate and government shutdown. Congressional Democrats are demanding that any legislation to fund the government include an extension for enhanced Obamacare subsidies, set to expire at the end of this year. Republicans, conversely, seek a stopgap measure to resume federal funding at current levels through November 21. Both bills have failed to pass in the Senate seven times, prolonging the federal shutdown that began on October 1. Approximately 22 million of the 24 million people enrolled in Obamacare health insurance plans receive enhanced ACA credits, which reduce insurance costs. The KFF health policy research group recently projected that the average premium for an ACA plan would more than double in 2026 if the enhanced tax credits expire. The Trump administration has initiated mass layoffs of federal workers, though some notices at the Centers for Disease Control and Prevention (CDC) were reversed due to a "glitch in the system." Vice President Vance accused Democrats of "hostage taking," while House Minority Leader Jeffries blamed Republicans and warned of dramatically increased premiums for tens of millions if ACA tax credits are not extended.

Background

A U.S. government shutdown occurs when Congress fails to pass appropriations bills on time, leading to the closure of non-essential government operations. The current shutdown began on October 1, 2025, with the central dispute revolving around enhanced tax credits under the Affordable Care Act (ACA), commonly known as Obamacare. These enhanced tax credits, introduced during the COVID-19 pandemic in 2021, were designed to increase financial aid and expand eligibility to middle-income enrollees, thereby lowering health insurance costs. They are set to expire at the end of 2025. The ACA has been a focal point of intense partisan debate in the U.S. since its inception, with Republicans generally seeking to repeal or curtail its provisions and Democrats committed to its preservation and expansion. President Trump is the incumbent, and his administration is navigating the federal worker layoffs resulting from the shutdown.

In-Depth AI Insights

What are the underlying political and economic motivations behind the Trump administration's hardline stance on ACA tax credits and its willingness to endure a government shutdown? - Politically, this move likely aims to fulfill long-standing Republican promises to cut or repeal the ACA, solidifying its conservative voter base. By framing the issue around "waste and fraud," the administration attempts to portray spending cuts as fiscal responsibility rather than an attack on welfare. - Economically, reducing subsidies could help cut federal spending, aligning with the Republican agenda for fiscal austerity, even if it comes at the cost of increased healthcare expenses for tens of millions of Americans. - Furthermore, using a shutdown as leverage to compel Democrats to compromise on other spending priorities is a common political tactic, designed to demonstrate the administration's resolve on its core positions. How might this prolonged shutdown and the specific targeting of federal worker layoffs impact the broader U.S. economy and investor confidence, beyond immediate federal worker disruption? - Economic Impact: Layoffs of federal employees will directly lead to reduced consumer spending, particularly in affected regions. If the shutdown persists, it could drag down Q4 GDP growth and negatively impact holiday retail sales. - Investor Confidence: A sustained political stalemate and government dysfunction erode investor confidence by increasing policy uncertainty and potentially signaling future volatility in critical legislation such as the debt ceiling or annual budgets. - Sector-Specific Effects: Industries reliant on government contracts or regulatory approvals may face project delays and uncertainty, while businesses serving federal employees (e.g., restaurants, retail) will see reduced demand. What are the longer-term implications for the U.S. healthcare sector, particularly for insurers and healthcare providers, if the enhanced ACA subsidies are allowed to expire? - Insurers: If subsidies expire, tens of millions of people are expected to face significantly higher premiums, potentially leading a substantial number of enrollees to exit the market or opt for lower-coverage plans. This would directly reduce the customer base and premium revenues for health insurance companies, especially those heavily reliant on the ACA marketplace. - Healthcare Providers: If more individuals lose insurance or choose high-deductible plans, they may defer seeking medical care, leading to reduced patient volumes and revenues for providers (e.g., hospitals, clinics), and an increased risk of bad debt. - Market Consolidation and Innovation: To cope with revenue pressures, insurers and providers may accelerate market consolidation and seek more cost-effective service models. This could stifle innovation and potentially lead to decreased access to healthcare services, particularly in rural or low-income areas.