"There are people who have come here after escaping violence and persecution and torture. These are communities that we have historically said, 'You are welcome here. We have the support for you. We're going to help you get established in our country.' And now, the federal government is abandoning them."
Luna Rosado, a single mother, has seen her gas expenses rise by $40 weekly due to a 30 percent increase in prices after the war in Iran. This has resulted in $160 less for groceries and other necessities each month, forcing her to constantly adjust her budget.
"This argues for the need to sustain such policies and shows that it is possible to right the wrongs retroactively, which is a powerful idea," said Kenneth Michelson, MD, MPH, associate professor of Pediatrics in the Division of Emergency Medicine and a co-author of the study.
Congress has kept key drug assistance funding at $900.3 million annually since 2014. New enrollments for state programs jumped 30% from 2022 to 2024, in part because states cut off pandemic-era Medicaid assistance. As of January, at least 18 states have pulled back their Ryan White AIDS Drug Assistance Programs, known as ADAPs, in some way.
Because of budget cuts, the Los Angeles County Department of Public Health has ended clinical services at seven of its public health clinic sites. As of Feb. 27, the county is no longer providing services such as vaccinations, sexually transmitted infection testing and treatment, or tuberculosis diagnosis and specialty TB care at the affected locations, according to county officials and a department fact sheet.
In light of the systemic dismantling of America's public health agencies, these moves essentially create a shadow infrastructure to maintain some of what is being lost. While this is a promising development, it does nothing to stop a troubling trend that has been emerging for some time: The country is quickly becoming fragmented along partisan lines when it comes to public health.
You cannot change the terms of the work requirement. It's a pretty easy no. Federal law holds that non-expansion states cannot adopt work requirements under the One Big Beautiful Bill Act. Leo Cuello, an attorney and professor at Georgetown University's McCourt School of Public Policy, cites guidance from the Centers for Medicare and Medicaid Services in making this determination.
The most significant immediate change arrived Jan. 1 with the expiration of enhanced premium tax credits, which help defray the cost of monthly premiums for Americans enrolled in plans sold by health insurance exchanges such as Covered California. RELATED: Bay Area Affordable Care Act policyholders brace for price hikes With Congress not renewing these subsidies, which arrived in 2021 and are in addition to the initial income-based credits made available under the Affordable Care Act, enrollees will see their payments increase significantly this year.
The 340B program allows hospitals to buy outpatient drugs at steep discounts, with the purported purpose of helping them fund care for low-income and uninsured patients. The now-axed rebate model would have invited drugmakers to participate voluntarily in a rebate-based discount system. Basically, instead of the provider receiving a discount upfront at purchase, the 340B discount would be applied after purchase via rebate - and subject to tedious data submission requirements.
Medical inflation runs on its own clock, and the coverage decisions you make at 65 determine whether a serious illness costs you a manageable sum or a devastating one. Healthcare is the single most unpredictable variable in retirement planning because it combines three separate uncertainties: how fast costs will rise, how much care you will need, and which coverage structure you choose.
The issue is particularly critical right now for people who have insurance plans through the Affordable Care Act marketplace. Prices for those plans have skyrocketed this year after Congress failed to extend critical tax credits. Without those credits, monthly premiums for ACA plans have, on average, more than doubled. Early data on ACA enrollments for 2026 not only suggests that fewer people are signing up for the plans, but also that those who are enrolling are often choosing bronze plans, which are high-deductible plans.
In 2026, the US healthcare system is changing. Enhanced Affordable Care Act subsidies have expired, causing premiums for marketplace plans to spike - and pricing some families out of health insurance entirely. President Donald Trump's One Big Beautiful Bill Act will reduce coverage for some patients with Medicaid and funding for hospitals, especially those in rural areas. Costs for Medicare and private insurance are also rising: Employer-based healthcare premiums have increased by 9%, the largest rise in more than a decade.
Her monthly health insurance premium jumped from $3 to $164 a month in January, a cost too high for the single mom's tight budget. Her job as a dishwasher at Chili's barely covers rent, groceries, and other essentials. Like many Americans, Richards relies on the Affordable Care Act marketplace because her job doesn't offer health insurance.