The rising cost of healthcare in the US is a dire issue, as evident from the stories of several individuals who rely on the Affordable Care Act (ACA) for their health insurance. Celia Monreal, a mother of five from Texas, is one such example. She currently pays no premium for her ACA marketplace plan due to tax credits, but if these credits expire at the end of the year, her monthly premium could skyrocket to $1,500. This would force her to choose between paying for necessities like heat and food or health insurance.

Similarly, Michael Swanson, a restaurant server from San Antonio, relies on tax credits to keep his ACA health coverage. Without these subsidies, his premium would increase tenfold, making it unaffordable for him. He is now looking for a new job that offers affordable health coverage. Steve Gomez, a construction manager from Arizona, also relies on ACA marketplace coverage for his family’s healthcare, including his son who has a congenital heart defect. However, he is struggling to find a marketplace plan that covers the care his son needs, and he believes the impending expiration of tax credits is to blame.

The expiration of tax credits would have far-reaching consequences, affecting not just individuals but also small businesses. Andrew Volk, a bar owner from Maine, is already seeing the ripple effects of the stalled extension of tax credits. His private insurance premiums are set to increase by 25-35%, making it difficult for him to offer affordable healthcare to his employees.

The stories of these individuals highlight the urgent need for lawmakers to extend the tax credits for ACA marketplace plans. Without these subsidies, many people would be forced to choose between paying for healthcare or other essential expenses. The expiration of tax credits would also have a broader impact on the economy, making it more difficult for small businesses to offer affordable healthcare to their employees and potentially driving up healthcare costs for everyone. As Amber Gustafson, a writer from Iowa, notes, “The more people that are part of the ACA, the more cost-effective it is for everybody.”