Margot Sanger-Katz

It definitely does make a difference in people's lives, and it does make a big difference in people's coverage.

But there is a real debate about what level of subsidization is appropriate in these markets and whether and how much people should be asked to pay for their health insurance.

Because in part, over the same period of time in which we've been paying all this extra money to help people buy insurance, the cost of insurance itself has gotten a lot more expensive.

And why is it that health insurance has gotten so expensive over the last few years?

So people love to rag on health insurance companies and no one really likes them.

They don't like how expensive they are.

There are lots of other things they don't like about them.

But the reason why health insurance is so expensive is because health care in the United States is really expensive and the costs are growing over time.

And there are a bunch of reasons for that.

Recently, of course, we've had these GLP-1 anti-obesity medications, super transformative drugs.

They really could help a lot of people improve their health, but they're costly and lots of people want to take them.

And that's an example of a much broader trend in the U.S.

healthcare system, which is that we love to use new technology.

When there are new drugs or treatments on the cutting edge that really seem to make a difference in public health, we want to use them, even though they're going to cost a lot of money.

I think it's just really hard to say.

We are right in the middle of this debate.

I think what you can see with this discharge petition is that there are some Republicans who are really worried about this issue politically.

But you can also see that there are other Republicans who really just don't like Obamacare and don't want to be pouring more money into it.

And they're kind of having this fight within their own party.

They control the government, and the Democrats cannot get this policy done by themselves.