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The progressive congresswoman also warned that "an extension with abortion restrictions kills women."
The US House of Representatives is set to vote on extending Affordable Care Act subsidies next week, and Rep. Alexandria Ocasio-Cortez warned Friday that if Republicans let the ACA tax credits expire at the end of the year, "people are going to die."
The New York Democrat spoke to reporters in Washington, DC a day after only four Republicans voted with Democratic senators in an unsuccessful effort to pass legislation extending ACA subsidies, as over 20 million Americans face a surge in health insurance premiums. A GOP bill to replace the subsidies with annual payments to tax-advantaged health savings accounts also failed.
"We have to remember who's in charge of the House, the Senate, and the White House. Republicans have a House majority, they have a Senate majority, and Donald Trump is president of the United States, and JD Vance is vice president of the United States," Ocasio-Cortez said in remarks shared by her and multiple news sources on social media.
House Speaker Mike Johnson (R-La.) "refused to engage" in a debate on the looming healthcare crisis and "kept Republicans home for over a month so that they would not negotiate," she said. Trump and Vance "did the same thing—they stuck their heads in the sand for the entirety of a... government shutdown where we were urging them to come to a solution on extensions of ACA premium subsidies," she continued, calling for a "clean" extension while the GOP sorts out its supposed healthcare plan.
Rep. @AOC on healthcare subsidy proposals: "An extension with abortion restrictions kills women." pic.twitter.com/HOCqHMGemp
— Forbes Breaking News (@ForbesTVNews) December 12, 2025
"People are gonna be kicked off of their insurance. Open enrollment is happening right now, and there are going to be millions of Americans that are affected—that aren't gonna be able to go to a doctor, aren't gonna be able to afford their prescription drugs, because of some petty fight in Washington," the congresswoman said, noting Democratic efforts to force votes on an extension.
As NBC News reported Thursday, early enrollment data from several states shows that "more people appear to be walking away from Affordable Care Act coverage or switching to cheaper plans for 2026 compared to this time last year," which "could reflect signs of financial strain for people who can't afford to pay hundreds of dollars more in monthly premiums once enhanced federal subsidies expire at the end of the year."
Demanding that her colleagues in DC recognize the urgency of the issue, Ocasio-Cortez—who supports Medicare for All—said Friday that "I don't understand why they can't just extend these subsidies so that we can save people's lives while they figure out whatever their political food fight is."
AOC also pushed back against GOP efforts to restrict reproductive healthcare in an ACA subsidy bill, saying "an extension with abortion restrictions kills women—so no, I'm going to allow this Republican majority to kill women in this country so that they can try to do whatever their victory lap is. I will not accept women, and the lives of women, as some political cost for them being able to extend these things. Reproductive care is healthcare. Period."
Since the right-wing US Supreme Court reversed Roe v. Wade and GOP-led states further restricted reproductive rights, multiple stories have emerged from places including Georgia and Texas exemplifying how "Republican abortion bans kill women."
After Johnson met with the House GOP's "Five Families" on Friday, he is expected to allow a floor vote to extend the subsidies next week and, according to Punchbowl News, is considering giving moderates an option without abortion funding restrictions.
As Politico reported Friday evening:
[GOP] leaders ultimately expect the extension vote to fail, resulting in skyrocketing premiums for millions of Americans when the subsidies expire at the end of the year.
Instead, according to House Republican leadership aides, Republicans are preparing to roll out a healthcare framework that would allow businesses that fund their own health plans to purchase "stop-loss" policies—which would protect businesses from going bankrupt from just a few unexpectedly expensive insurance claims.
It also would appropriate funds to pay for "cost-sharing reductions" in Obamacare and include some elements of a separate legislative proposal designed to crack down on pharmacy benefit managers—companies that negotiate drug prices on behalf of insurers and large employers.
Like Ocasio-Cortez—who has faced mounting calls to launch a 2028 primary challenge to Senate Minority Leader Chuck Schumer (D-NY) over his handling of the March funding fight and recent shutdown—the upper chamber's top Democrat put the blame squarely on Republicans after both bills failed to advance on Thursday.
"Republicans must answer for why people will lose coverage. Republicans must answer why families see premiums double and triple over the next year," Schumer said. "Democrats' focus does not change. We fought like hell to stop these hikes, and we're going to continue to fight like hell to bring costs down for the American people on healthcare, on housing, on electric rates, on groceries."
"But Republicans are fighting like hell to send those costs right through the roof," he added. "They're fighting like hell to kick people off insurance. They're fighting like hell to cut taxes and give sweet giveaways to billionaires and the ultrarich. January 1st is coming. Republicans are responsible for what happens next. This is their crisis now, and they're going to have to answer for it."
"She can't even be effective as a shill," said one critic of the ex-senator's lobbying.
Congresswoman Alexandria Ocasio-Cortez was among those celebrating after the Chandler, Arizona City Council on Thursday night unanimously rejected an artificial intelligence data center project promoted by former US Sen. Kyrsten Sinema.
"Good!" Ocasio-Cortez (D-NY) simply said on social media Friday.
The defeat of the proposed $2.5 billion project comes as hundreds of advocacy groups and progressive leaders, including US Sen. Bernie Sanders (I-Vt.), are urging opponents of energy-sucking AI data centers across the United States to keep pressuring local, state, and federal leaders over climate, economic, environmental, and water concerns.
In Chandler, "the nearly 43,000-square-foot data center on the corner of Price and Dobson roads would have been the 11th data center in the Price Road Corridor, an area known for employers like Intel and Wells Fargo," the Arizona Republic reported.
The newspaper noted that around 300 people attended Thursday's meeting—many holding signs protesting the project—and city spokesperson Matthew Burdick said that the government received 256 comments opposing the data center.
Although Sinema skipped the debate on Thursday, the ex-senator—who frequently thwarted Democratic priorities on Capitol Hill and ultimately ditched the party before leaving office—previously attended a planning and zoning commission meeting in Chandler to push for the project. That stunt earned her the title of "cartoon villain."
Sinema critics again took aim at her after the 7-0 vote, saying that "she can't even be effective as a shill" and "Sinema went all in to lobby for a data center in Chandler, Arizona and the council told her to get rekt."
Progressive commentator Krystal Ball declared: "Kyrsten Sinema data center L. Love to see it."
Politico noted Friday that "several other Arizona cities, including Phoenix and Tucson, have written zoning rules for data centers or placed new requirements on the facilities. Local officials in cities in Oregon, Missouri, Virginia, Arizona, and Indiana have also rejected planned data centers."
Janos Marton, chief advocacy officer at Dream.Org, said: "Another big win in Arizona, following Tucson's rejection of a data center. When communities are organized they can fight back and win. Don't accept data centers that hide their impacts behind NDAs, drive up energy prices, and bring pollution to local neighborhoods."
When Sinema lobbied for the Chandler data center in October, she cited President Donald Trump's push for such projects.
"The AI Action Plan, set out by the Trump administration, says very clearly that we must continue to proliferate AI and AI data centers throughout the country," she said at the time. "So federal preemption is coming. Chandler right now has the opportunity to determine how and when these new, innovative AI data centers will be built."
Trump on Thursday signed an executive order (EO) intended to block states from enforcing their own AI regulations.
"I understand the president has issued an EO. I think that is yet to play itself out," Chandler Mayor Kevin Hartke reportedly said after the city vote. "Really, this is a land use question, not [about] policies related to data centers."
Rep. Alexandria Ocasio-Cortez said the tight race shows that "people are increasingly recognizing that our fights are not left and right, but they are top and bottom. They are about all of us as working Americans."
Just over a year after President Donald Trump carried Tennessee's 7th District by more than 20 points, US Rep. Alexandria Ocasio-Cortez said Monday night that the final polls in the district's special election race between a Trump ally and a progressive state lawmaker are "a testament to how the American people are feeling in this moment."
Ocasio-Cortez (D-NY) was speaking at a virtual get-out-the-vote rally for state Rep. Aftyn Behn (D-51), who is facing GOP candidate Matt Van Epps in the district in Tuesday's special election. GOP Rep. Mark Green stepped down earlier this year for a private sector job after winning by 21 percentage points last year.
The electoral history of the district would suggest that Republicans could expect to easily win Tuesday's election, but with Van Epps ahead by just one or two percentage points in recent polling, Trump, House Speaker Mike Johnson (R-La.), and other Republicans are signaling fears that Behn could pull off an upset.
The president attacked Behn in a social media post Monday, warning that only Van Epps "cherishes Christianity and Country Music."
Like other progressive candidates in this year's elections, Behn has focused heavily on the need to make life more affordable for residents in the district, which was gerrymandered by state Republicans in 2022. The GOP eliminated a Democratic district in Nashville and its voters were added to three Republican districts, but Behn has worked to mobilize voters in predominantly Black areas that were added to the 7th District and told canvassers Monday evening that the redistricting scheme "backfired" on the Republicans.
AFTYN: “Clearly I’m living rent-free in President Trump’s mind.”
JUST NOW IN FRANKLIN — Rep. @aftynfortn Behn gave a pep talk to a group of fired up canvassers on the eve of an unexpectedly tight #TN7 special election.
(And a group hug) pic.twitter.com/1e0sNmNHEd
— The Tennessee Holler (@TheTNHoller) December 1, 2025
Behn has focused on high prices during the campaign, attacking Trump's tariff policies and decrying the One Big Beautiful Bill Act's cuts to Medicaid and nutrition assistance—calling the law the "Big Bullshit Bill."
"This is a wake-up call," she said after the law passed in July. "If we don't bring change to Congress, the billionaires and bought-out politicians will continue to rig the system against us."
As a state lawmaker, Behn proposed the Homes, Not Hedge Funds bill to stop private equity firms from buying up neighborhoods and advocated "for fair funding for rural communities" with her Rural Prosperity Act.
She's also spoken out and organized on the ground against Trump's mass deportation operation, which she's called a "flagrant abuse of power and state-sanctioned violence."
At the virtual rally on Monday night, Ocasio-Cortez said Behn's decision to take on a Trump-backed opponent in a heavily Republican district "takes a special kind of guts."
"That kind of guts is what we need more of in this country," she said. "A kind of person that says, 'We're not gonna do something because it's easy, we're gonna do it because it's the right thing to do.' And she is leading by putting herself on the line and raising her hand up first to say, 'I am going to fight for my neighbors no matter the odds.'"
🔥 WATCH — @AOC: “Tennessee is ready to elect @aftynfortn Behn. Miracles can happen… to run in an R+22 seat takes a very special kind of person with a very special kind of guts. That the race is so tight is a testament to how the 🇺🇸 people are feeling in this moment.” #TN7 pic.twitter.com/2QKr6EQUMI
— The Tennessee Holler (@TheTNHoller) December 2, 2025
Ocasio-Cortez added that the close race shows "people are increasingly recognizing that our fights are not left and right, but they are top and bottom. They are about all of us as working Americans and working-class people that are standing up against the injustices and the greed of our healthcare system, of our low wages."
Van Epps has sought to attack Behn for speaking out for the rights of immigrants, telling voters at a rally with the president, "The only way to stop crazy is to vote against crazy."
John Geer, a political scientist at Vanderbilt University, told the Washington Post that the fact that a Democratic candidate is being targeted so heavily by her Republican opponent in the 7th District and attracting the attention of the president shows the GOP is "worried."
“It’s interesting that Van Epps isn’t in a strong enough position just to ignore her,” said Geer.
Behn suggested that even if Van Epps ekes out a win in the close race, the competitive election has offered the latest proof of deep dissatisfaction with Trump's agenda.
“If we get close,” she told the Post, it will be due to the “affordability crisis that we are experiencing in Tennessee and the fact that the federal administration has not delivered an economic agenda to address the needs of working people in the state.”