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Pay Up or Die Trying: Project 2025’s Healthcare Nightmare | Sam Osterhout & Andra Watkins

The GOP’s healthcare vision turns sickness into a profit model for private equity and insurers.
  • Project 2025 lays out a plan to dismantle the ACA through deceptive “choice” language.

  • “Direct care” models and “shared savings” incentives mask a push to privatize and ration care.

  • Cutting ACA subsidies would skyrocket premiums and gut protections for preexisting conditions.


The real agenda isn’t reform—it’s extraction. Sam Osterhout and Andra Watkins cut through the jargon of “freedom” and “personal responsibility” to expose a system designed to make illness profitable and health unattainable for anyone without wealth. “They don’t care if we die,” Andra says, summing up the moral rot at the core of the plan: turning patients into products and healthcare into a speculative market. The cruelty is deliberate, the language sanitized, and the goal unmistakable—to break public trust in collective care. The only antidote, they argue, is literacy and outrage: learning what’s been written down in plain sight and refusing to accept it as inevitable.

Tune in to the full conversation, now!

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