The Affordable Care Act (ACA) is facing a critical juncture as the enhanced premium tax credits that have made healthcare more affordable for millions of Americans are set to expire at the end of the year. If Congress does not extend these credits, over 24 million people who rely on the ACA marketplace for health coverage will see their premiums skyrocket, with some facing increases of over 100%. This will disproportionately affect low- and middle-income individuals, including farmers, ranchers, small business owners, and self-employed people who do not have other health insurance options through their work.
For people like Celia Monreal and her husband Jorge, the potential loss of subsidies is a constant source of worry. Jorge needs knee replacement surgery, and without insurance, they will not be able to afford the procedure. Monreal is concerned about the impact on their family’s health and well-being, saying, “It worries me sometimes, because if you’re not healthy, then you’re not here for your kids.” The Monreals are not alone in their concerns, as millions of Americans are facing similar challenges in accessing affordable healthcare.
The expiration of the tax credits will have far-reaching consequences, including increased healthcare costs, reduced access to care, and a greater burden on hospitals and emergency services. Jason Levitis, a senior fellow at the Urban Institute, warns that “if you have less subsidies for people getting health insurance, you’re going to have less health coverage and less health care. People are going to be sicker and die more.” The potential consequences of inaction are dire, and it is essential that policymakers take immediate action to address this critical issue.
The current government shutdown has further complicated the situation, with Democrats demanding the extension of subsidies as part of any funding deal, while Republicans refuse to negotiate until the government is funded. As the open enrollment period for ACA plans approaches, Americans like Monreal are left to navigate the unknown, facing difficult decisions about their healthcare and financial security.
The impact of the subsidy expiration will be felt across the country, with individuals and families struggling to access affordable healthcare. Erin Jackson-Hill, a 56-year-old in Alaska, is considering forgoing health insurance if the subsidies aren’t extended, while Stan Clawson, a freelance filmmaker in Utah, is exploring new job options that provide health insurance. Chrissy Meehan, a hair stylist in Pennsylvania, is delaying a necessary surgery due to the uncertainty surrounding her healthcare coverage.
In conclusion, the expiration of the ACA subsidies poses a significant threat to the health and financial security of millions of Americans. It is essential that policymakers take immediate action to address this critical issue and ensure that affordable healthcare remains accessible to all. The consequences of inaction will be severe, and it is crucial that we prioritize the health and well-being of our citizens. As Celia Monreal so eloquently puts it, “I work hard, and I’m trying to survive and do it the right way and pay my way. I don’t want free. I just want affordable for my income.”