The high cost of health insurance and healthcare is a significant burden for millions of Americans, making it difficult for them to afford necessary care for themselves and their families. The expiration of enhanced advance premium tax credits (APTCs) in December has led to a significant increase in health insurance costs, with some individuals and families facing premium increases of up to 15%. This has resulted in many people struggling to afford health insurance, with some being forced to drop their coverage altogether.
The failure of Congress to extend the enhanced APTCs has been cited as a major factor driving up health insurance costs. The APTCs, which were introduced as part of the Affordable Care Act (ACA), helped to make health insurance more affordable for low- and middle-income individuals and families. However, with the expiration of these credits, many people are now facing significantly higher premiums, making it difficult for them to afford health insurance.
Another factor driving up health insurance costs is the rising cost of medical care, including prescription drugs and hospital and physician care. Insurers are raising rates to keep up with these increasing costs, which is further exacerbating the problem of unaffordable health insurance. According to Gerard Anderson, a professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health, insurers are concerned that people will drop their coverage when premiums go up, which will lead to a further increase in rates.
The impact of these changes is being felt across the country, with many individuals and families struggling to afford health insurance. According to Charles Gaba, a researcher who publishes data on Obamacare enrollment, insurance payments in each state and congressional district are estimated to be significantly higher in 2026 than in previous years. For example, a 50-year-old single adult earning $20,000 to $70,000 annually may face premium increases of up to 114% in some states.
The situation is particularly dire for those who are most vulnerable, including low-income individuals and families, and those with pre-existing medical conditions. The expiration of the enhanced APTCs has left many of these individuals without access to affordable health insurance, making it difficult for them to access necessary care.
In response to these challenges, some states are offering their own health insurance subsidies to help make coverage more affordable. For example, California, Connecticut, Illinois, New Jersey, New York, Pennsylvania, Rhode Island, and the District of Columbia are offering subsidies to help individuals and families afford health insurance. Additionally, some experts are calling for the extension of the enhanced APTCs to help make health insurance more affordable for low- and middle-income individuals and families.
Overall, the high cost of health insurance and healthcare is a significant challenge for millions of Americans, and it is essential that policymakers take action to address this issue. This can include extending the enhanced APTCs, increasing funding for Medicaid, and implementing other measures to make health insurance more affordable for low- and middle-income individuals and families. By taking these steps, we can help ensure that all Americans have access to affordable health insurance and necessary care, regardless of their income or health status.