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Sen. Roger Marshall has a point on health care waste, just not on the fix | Opinion

No, we shouldn’t pay billions to insurance companies for people who don’t utilize that coverage. There’s an easy way to avoid that.
No, we shouldn’t pay billions to insurance companies for people who don’t utilize that coverage. There’s an easy way to avoid that. Getty Images file photo

I am an attorney who has represented and advised employers and individuals on employment law matters for nearly 40 years. I also ran my own law firm for more than 20 years, so I am even more familiar with the trials and tribulations that small businesses face when it comes to finding affordable health insurance. I also have been a registered Republican in Kansas as long as I can remember, and I appreciate that our U.S. senators keep us informed via newsletters.

In an Oct. 30 email newsletter to his constituents, Sen. Marshall wrote that the Affordable Care Act — aka Obamacare — was based on the argument that “it would make good health care affordable for those who didn’t have employer-based insurance or couldn’t get a health care plan,” but then lamented how it has “funneled billions a year in new money into the health care system, lining the pockets of insurance companies, hospitals, and some doctors.” As a physician and former owner of Great Bend Regional Hospital, he ought to know.

Sen. Marshall then quoted a recent National Review article in pointing out how ACA “subsidies go to insurers, who in millions of instances get to keep the entire thing because their customers never make a claim.” He then quoted a recent article from Paragon Health Institute that said, “In 2024, insurers were likely sent more than $40 billion in subsidies for people who received no health care.”

It isn’t surprising that a lot of people sign up for insurance but never make a claim. The point of insurance is to protect people from going broke if they have a significant illness or injury — but everyone would prefer not being in that situation in the first place.

Still, Sen. Marshall makes a good point that it’s a waste of our taxes to pay billions to insurance companies for people who don’t utilize that coverage, which is why allowing people who do not receive employer-subsidized health insurance to enroll in Medicare would be better than paying ACA subsidies to insurance companies.

In fact, since Medicare administrative expenses are a fraction of the administrative expenses at insurance companies (for example, the ACA caps those expenses, including profit, at 20% of the premiums they receive), common sense tells us that the public option would be better for everyone.

So, yes, Sen. Marshall is on to something: Denying affordable health care to millions of Americans would be un-American. But fiscal responsibility is not, which is why Congress should stop subsidizing insurance companies and, instead, make Medicare for all a bipartisan priority.

Larry Schumaker is an attorney practicing employment law in Kansas City. He and his wife are longtime Kansas residents. He is a graduate of Harvard University and the University of Missouri-Columbia School of Law.

This story was originally published November 4, 2025 at 5:03 AM.

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