- On October 12, the Trump administration announced it would stop making cost-sharing reduction payments to insurers, because it lacked a constitutionally valid appropriation to do so—an action that restores Congress’ “power of the purse.”
- While some have proposed that Congress should appropriate funds for the payments, such action would effectively reward insurers’ prior risky behavior—assuming cost-sharing reductions would continue to be paid, even after a federal judge struck them down as unconstitutional—thereby perpetuating moral hazard.
- A better course of action is repealing the undermining regulations surrounding Obamacare, which necessitated the unconstitutional cost-sharing reduction payments to insurers in the first place.
Health Care
Don’t Fence Me In: Reggie’s Story
DEL RIO—Reggie’s life has revolved around opportunity—seeking it all over America, and eventually creating it for himself, in response to the needs of his neighbors. He’s back in Del Rio now—where he belongs, he says. He runs a medical transport company (staffed by licensed EMTS and paramedics), something many of the elderly South Texas depend...
March 16, 2026