philadelphia tom westerman vote donald trump last year election say might president cut billions dollars obamacare subsidies health insurance company really upset say westerman 63 self-described middle-class guy annual household income 60,000 western pennsylvania city arnold westerman change heart reflect mount fear among middle-class democrats republicans health insurance cost soar trump weaken former president barack obama signature healthcare law extend insurance 20 million americans trump say last week would stop pay monthly subsidies deride bailout insurers money reimburse insurers discount deductibles copays out-of-pocket cost firm still must provide obamacare low-income households insurers anticipate trump would end fund already raise 2018 premiums insurance plan obama affordable care act recoup fund others withdraw obamacare market many state uncertainty seem like try hurt middle class say westerman retire manufacture company pennsylvania state trump little 44,000 vote democrat hillary clinton first time republican candidate pennsylvania since 1988. westerman already pay 520 month healthcare premiums 700 month 21-year-old daughter college tuition say go make good everyone premium increase make good white house spokesman decline comment refer inquiries u.s. department health human service immediately respond request comment trump call subsidy payments gift insurance company administration argue lawfully make payments unless congress pass new legislation people say encourage see trump deliver campaign promise dismantle obamacare repeat failures congressional republicans repeal 2010 law support president think obamacare implode impact obamacare everybody say roger heuring 58 live new jersey heuring employer plan say sister ohio buy insurance obamacare market forget president congress responsibility ones pass mess begin heuring say addition cut subsidies trump sign executive order last week could eventually make easy americans buy cheap bare-bones health insurance plan require obamacare tuesday two senators strike bipartisan deal stabilize obamacare market include reinstate subsidies two years trump initially say might back deal reverse course wednesday senior republican lawmakers speak plan might allow obamacare survive meanwhile democratic attorneys-general ask california judge intervene direct administration continue payments legal challenge trump cutoff settle court move create new uncertainty subsidies two weeks americans begin enroll obamacare plan 2018. middle-class squeeze subsidies restore middle-income families small business owners buy insurance obamacare market could see premiums rise say larry levitt health economist kaiser family foundation include cash-strapped self-employed workers rely obamacare buy insurance make much money qualify government assistance poor receive form government subsidies buy coverage shield premium increase karyn feit self-employed mental health therapist philadelphia say hike premiums strain already-stretched finance force cut back trip florida care sick parent feit 47 husband together earn 100,000 annually place among america vast tier middle-income families buy obamacare individual coverage four years ago feit leave job hospital start business leave without employer coverage children current monthly premiums 391 expect rise 80 month trump decision first thing would cut travel care people say feit democrat trump voter stephen lewis 62 lose job veterinarian wisconsin buy health insurance plan obamacare lewis still support trump although say fear premiums 309 month could rise subsidy cut make hard meet expense include 611 monthly mortgage payments concern obviously lewis say graphic-the trump effect repeal replace middle-class americans worry trump health subsidies cut hurt