Replace subsidies with tax credits. That is really going to help those with less means

[Cicada]

10. The Obamacare premium tax credit is paid in advance

Your Obamacare tax credit is paid in advance to your health insurer. Look at IRS form 1095-A, health insurance marketplace statement. Part III column C is titled "monthly advance payment of premium tax credit." That shows the amount of your Obamacare health insurance premium tax credit paid in advance to your health insurer. So the Trumpcare health tax credit is also a refundable tax credit (meaning you get it even if it exceeds your tax liability) just like Obamacare tax credit. The problem is not that one is a credit and the other is a subsidy - they both are BOTH tax credits and subsidies. The tax credit IS the subsidy. The problem is that Trumpcare provides too little for those with limited income and subsidizes more affluent people who can already afford health insurance.

The earned income tax credit can also be paid to taxpayers in advance through their paychecks if the employer is willing to do that.