Posted on Friday, November 21, 2025
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by AMAC Action
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0 Comments
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In a new comment submitted to the Senate Finance Committee, AMAC Action Senior Vice President Andy Mangione is sounding the alarm about the unsustainable trajectory of healthcare costs under the Affordable Care Act (ACA). Mangione outlines how “many of [the ACA’s] structural flaws continue to drive up costs for ordinary Americans” and calls for “thoughtful reforms” to move toward a system that is “less expensive, more transparent, and more responsive to consumer needs.”
Fifteen years after its passage, the ACA, also known as Obamacare, has failed to deliver affordability as promised. As Mangione notes, “premiums and deductibles have risen steadily, leaving many families facing thousands of dollars in out-of-pocket costs before they can meaningfully use their coverage.” Even for those with insurance, “people are still delaying or avoiding needed care not because they lack insurance, but because the insurance they have remains too expensive to use.”
The comment highlights that insurers are now proposing “some of the largest rate hikes in years,” made worse by the law’s reliance on federal subsidies that “mask rising prices with taxpayer-funded assistance.” This dependence, Mangione warns, leaves consumers “vulnerable to policy changes in Washington.”
Another concern is consolidation across the healthcare industry. “As providers merge and grow larger, they gain increased market power to demand higher reimbursement rates,” Mangione writes. “Those higher costs are passed directly to consumers.” The organization also criticizes the “complexity and administrative burden of the ACA’s regulatory framework,” which adds costs “that ultimately do not improve care.”
Finally, Mangione points to instability in the ACA marketplaces, with “sudden policy shifts, insurer exits, and uncertainty surrounding federal support” all contributing to rising premiums and fewer choices for consumers.
In closing, Mangione reiterates AMAC Action’s long-standing position: “Congress should move swiftly to get our country off the path to fully socialized medicine by enacting market reforms that increase competition in the marketplace and drive down prices for our members across the country.”
Through its advocacy, AMAC Action continues to champion healthcare solutions that protect seniors, empower patients, and restore affordability for all Americans.
Read the full article here