"December 15, 2025-the deadline for enrolling in a marketplace plan through the Affordable Care Act for 2026-came and went without an agreement on the federal subsidies that kept ACA plans more affordable for many Americans. Despite a last-ditch attempt in the House to extend ACA subsidies, with Congress adjourning for the year on December 19, it's looking almost certain that Americans relying on ACA subsidies will face a steep increase in healthcare costs in 2026."
"As a gerontologist who studies the U.S. healthcare system, I'm aware that disagreements about healthcare in America have a long history. The main bone of contention is whether providing healthcare is the responsibility of the government or of individuals or their employers. The ACA, passed in 2010 as the country's first major piece of health legislation since the passage of Medicare and Medicaid in 1965,"
The December 15, 2025 enrollment deadline passed with no agreement to extend federal ACA subsidies, making steep 2026 premium increases likely for subsidy-dependent enrollees. A last-ditch House attempt failed before Congress adjourned December 19. The dispute intensified political divisions and contributed to a record 43-day government shutdown beginning October 1, 2025. The ACA, enacted in 2010, aimed to reduce uninsurance after the 2008 recession when many who lost jobs also lost employer-sponsored coverage. Before the ACA roughly 49 million Americans lacked insurance. Durable U.S. healthcare policy remains unsettled amid debate over who should shoulder healthcare costs.
Read at Fast Company
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