This is simply false. https://www.cbo.gov/publication/56571 https://www.cbo.gov/publication/56571 > Federal Subsidies. In CBO and JCT’s projections, net feder

This is simply false. https://www.cbo.gov/publication/56571 https://www.cbo.gov/publication/56571 > Federal Subsidies. In CBO and JCT’s projections, net federal subsidies (that is, the cost of all the subsidies minus the taxes and penalties) in 2021 for insured people are $920 billion, or 4.4 percent of gross domestic product (GDP). The US federal government (that is, excluding state and county governments, which also spend money on this) spends 920 billion dollars a year on health insurance and care. This also excludes the VA system (~200 billion), which does cover dependents. So that's 1.1 trillion per year by the federal government alone. To take California for an example, you can add another 100 billion in state spending on Medi-Cal. It's also not uncommon for counties and cities to operate and run their own hospital systems.