Congress let ACA subsidies expire and premiums are set to more than double. Most ACA enrollees live in GOP districts now facing coverage loss hospital closures and higher costs for everyone. The healthcare death spiral has arrived and it targets its own voters first.

Prior authorization delays cancer care and drives preventable deaths. Oncologists report treatment denials disease progression and ER visits caused by insurer delays. What began as medical review now functions as weaponized paperwork that outlasts patients.