1. ACA Marketplace Fraud

• GAO (miswritten as “GOA”) found “significant fraud vulnerabilities” where fictitious applicants with “fake or invalid Social Security numbers” were still approved for subsidies. It says “nearly all of the fake applicants were accepted.”
• Duplicate subsidy payments, repeated payments tied to the same SSN, and “tens of thousands” of subsidies connected to deceased individuals.
• Brokers switched plans and enrolled people without sufficient verification, driven by commissions.
• Quantifies “billions” in improper payments annually, citing a figure of $27 billion, but admits “exact figures are hard to find.”

2. GOP Leaders & Policy

• Sen. John Thune describes the marketplace as “rife with waste, fraud, and abuse,” mention auto‑enrollment by insurers, and claim a “95% failure rate” (19 of 20 fictitious GAO applications approved).
• Speaker Mike Johnson is quoted arguing the COVID‑era premium tax credit affects “7% of Americans” and—if extended without reforms—would cut premiums for that group by “5.7%.” He promotes the “Lower Premiums for All Americans Act,” said to reduce premiums “by at least 11%” and save “tens of billions.”

3. Gender‑Affirming Care for Minors

• RFK Jr. and the Trump administration have “six decisive actions” to restrict gender‑affirming procedures for minors; claims CMS will propose barring hospitals from performing such procedures as a condition of Medicare/Medicaid participation.
• A “peer‑reviewed report” by HHS claims doctors violate the Hippocratic oath.
• Singles out Vanderbilt University’s TransBuddy program, implying monetary motives.

4. Economy & Inflation

• A “tumble” in inflation to 2.7%, is attributed to Trump’s energy expansion, tariffs, deregulation, renewed market confidence, and fiscal restraint. Democratic critics were wrong about inflation risks.

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