North Macedonia’s path toward full EU membership stalled by impasse with Bulgaria

European Council President Antonio Costa (L) confer with North Macedonia's Prime Minister Hristijan Mickovski during a joint press conference in Skopje on May 15, 2025. (AFP)
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Updated 15 May 2025
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North Macedonia’s path toward full EU membership stalled by impasse with Bulgaria

  • Change constitution to include protections for Bulgarian minority to be able to get full EU membership, North Macedonia told

SKOPJE, North Macedonia: European Council President António Costa on Thursday called on North Macedonia to change its constitution to include protections for its Bulgarian minority as a way for the country to continue its path toward full European Union membership.
The EU started membership talks with Albania and North Macedonia in 2022, as the war in Ukraine forced a rethink of the bloc’s enlargement process.
North Macedonia’s bid was delayed by a dispute with Bulgaria over Balkan history, language and culture. To break the impasse, North Macedonia’s previous center-left government accepted a Bulgarian demand to insert a reference to the Bulgarian ethnic minority in North Macedonia’s constitution. However, that administration lacked the parliamentary majority to implement the change.
Costa said that the small Balkan country should now deliver what was previously agreed upon.
“I know how difficult it is to achieve. Now is the time to conclude the whole thing and open a new page,” Costa told reporters at a news conference in the North Macedonian capital, Skopje, alongside the country’s Prime Minister Hristijan Mickoski.
Mickoski, for his part, said the bloc’s enlargement must be based on merits, not bilateral issues. His conservative government, which came to power last year, has said it will only amend the constitution if Bulgaria first approves North Macedonia’s EU membership.
“We have a problem, and it should be a two-way street. If only one side delivers, it is not realistic,” he said.
Costa is visiting six Western Balkan countries, which are at different stages on their path to full EU membership. Montenegro and Albania have been at the forefront while Serbia, Bosnia-Herzegovina, Kosovo and North Macedonia are lagging behind.
In Tirana, his last stop of the regional tour, Costa hailed Albania for being “on track to join the European Union.”
“Keeping up the pace and intensifying work on European Union reforms is now key, particularly rule of law and fight against corruption,” said Costa at a news conference with Albanian Prime Minister Edi Rama.
Rama’s Socialist Party says it can deliver EU membership in five years, an ambitious pledge as he confronts an opposition that argues Albania isn’t ready for EU membership.
In Tirana, Costa will co-host the European Political Community, a forum that gathers 47 European leaders with the aim of boosting security and prosperity across the continent.
 


Obamacare health subsidy to end as US Senate rejects dueling remedies

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Obamacare health subsidy to end as US Senate rejects dueling remedies

  • Senate rejects Republican and Democratic health care proposals
  • Democratic plan sought subsidy extension; Republicans offered to boost health savings accounts

WASHINGTON: The US Senate on Thursday rejected competing proposals by Republicans and Democrats to address a looming health care crisis, leaving some 24 million Americans vulnerable to significantly higher insurance premiums beginning on January 1 when a federal subsidy expires.
Barring any late breakthroughs, Congress will begin an end-of-year holiday recess sometime next week and not return until January 5, after new premiums are locked in for those who had relied on the Affordable Care Act enhanced subsidy.
In back-to-back votes largely along party lines, Democrats and Republicans blocked each other’s bill.
The House of Representatives might attempt to pass some sort of legislation next week, which has not yet been unveiled. Even if it were to pass, Senate Democrats, and possibly some Republicans, would oppose it and they could use their votes to kill that effort.
“After today’s vote, the American health care crisis is 100 percent on their shoulders,” Senate Democratic leader Chuck Schumer said of Republicans.
Senate Republican leader John Thune dismissed the Democratic bill as “a political messaging exercise” and said “Republicans are ready to get to work. I’m not sure yet that Democrats are interested.”
The bitter battle in Congress has left some Americans uncertain over renewing their health insurance under the federal health care program.
The percentage of returning customers in the Obamacare exchanges is slightly down from a year ago, with the government reporting 19.9 percent of people enrolled this year opting to renew their plans so far, down from 20.5 percent this time last year.
The Republican bill by US Senators Bill Cassidy of Louisiana and Mike Crapo of Idaho would have sent up to $1,500 to individuals earning less than 700 percent of the federal poverty level — about $110,000 for an individual or $225,000 for a family of four in 2025. Those funds could not be used for abortion or gender transition procedures and would require verification of beneficiaries’ immigration or citizenship status — provisions Democrats reject.
The Democratic proposal on the subsidies under the Affordable Care Act, popularly known as Obamacare, would have extended COVID-era subsidies for three years to keep insurance premiums from soaring for many. Without action by Congress, those premiums could more than double in cost on average, according to KFF, a health policy organization.
Sixty votes were needed to pass either measure in a Senate that Republicans control 53-47. Four Republicans voted for the Democratic proposal. No Democrats backed the Republicans’ bill.
President Donald Trump has largely sat out the brawl over health care, although he ultimately embraced the Cassidy-Crapo approach.
At Thursday’s bipartisan Congressional Ball, Trump predicted Republicans and Democrats would work together on health care. But he advocated for the Republican bill.
“We have an idea that rather than making these massive payments... insurance companies, we make beautiful big payments directly to the people, and they buy their own,” Trump said in remarks at the black-tie event at the White House.
The $1,500 payments in the Republican bill were meant to cover some of the out-of-pocket costs that people in the “Bronze” or “Catastrophic” categories — the lower-cost Obamacare plans — need to pay before their insurance kicks in.
However, it is far below the plans’ deductibles, meaning that even after that payment, a patient would be on the hook for up to $7,500 in out-of-pocket medical expenses before their insurance would start to pay for part of their care.
Those costs can rack up quickly for people with lower-cost plans, with a visit to a US emergency room costing between $1,000 and $3,000, while an ambulance ride can cost anywhere from $500 to over $3,500.
With 2026 congressional elections coming into focus, many Republicans are nervous about the prospect of stiff premium increases hitting every state, including many that backed Trump’s 2024 re-election. Polling indicates voters could mostly punish Republicans, who control Congress and the White House.
Republican US Senator Josh Hawley of Missouri, a state that Trump carried by 18 points in his 2024 re-election, said his constituents have been telling him, “We can’t afford our premiums now, let alone if they would go up by 50 or 100 percent.”
Insurance companies warned customers of the rising premiums in the new year, and Democrats argued there was not enough time to do anything but a clean extension of the tax credits they sought.
A new Reuters/Ipsos poll found Americans back a health care subsidy continuation. Some 51 percent of respondents — including three-quarters of Democrats and a third of Republicans — said they support extending the subsidies. Only 21 percent said they were opposed.
Moderate Republican Representative Brian Fitzpatrick of Pennsylvania is spearheading a bipartisan bill to extend the subsidy through 2027. He is hoping to garner enough support to circumvent leadership and force votes on the measure by the full House.