{"id":27874,"date":"2025-07-27T22:22:11","date_gmt":"2025-07-27T22:22:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/27874\/"},"modified":"2025-07-27T22:22:11","modified_gmt":"2025-07-27T22:22:11","slug":"a-massive-health-care-shock-is-coming","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/27874\/","title":{"rendered":"A Massive Health Care Shock Is Coming"},"content":{"rendered":"<p><a target=\"_blank\" href=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!QdSH!,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8c929f9-2577-4f69-993a-253048483954_5100x3400.jpeg\" data-component-name=\"Image2ToDOM\" rel=\"nofollow noopener\" class=\"image-link image2 is-viewable-img\"><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2025\/07\/https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/a8c929f9-2577-4f69-993a-253048483954_5100.jpeg\" width=\"1456\" height=\"971\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/a8c929f9-2577-4f69-993a-253048483954_5100x3400.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:13473341,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https:\/\/www.thebulwark.com\/i\/169330943?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8c929f9-2577-4f69-993a-253048483954_5100x3400.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}\" alt=\"\"   fetchpriority=\"high\" class=\"sizing-normal\"\/><\/a>(Shutterstock)<\/p>\n<p>TWENTY-FIVE MILLION AMERICANS are about to pay more for their health care\u2014in some cases, a lot more. And while Donald Trump and the Republicans could stop it from happening, so far they\u2019ve shown no willingness to do so.<\/p>\n<p>The Americans at risk are non-elderly people who buy private insurance on their own, mostly through the Affordable Care Act\u2019s online <a href=\"https:\/\/www.cms.gov\/newsroom\/press-releases\/over-24-million-consumers-selected-affordable-health-coverage-aca-marketplace-2025\" rel=\"nofollow noopener\" target=\"_blank\">marketplaces<\/a>. They are contractors and baristas, farmers and caregivers, part-time students and early retirees. They\u2019re all over the country, some making good money and some barely getting by.<\/p>\n<p>For several years, they\u2019ve benefited from a Biden-era program that made the Affordable Care Act\u2019s financial assistance more generous, so that coverage became cheaper by hundreds and sometimes thousands of dollars a year. During that time period, enrollment through the federal website <a href=\"http:\/\/healthcare.gov\" rel=\"nofollow noopener\" target=\"_blank\">HealthCare.gov<\/a> and its state-run counterparts (like <a href=\"https:\/\/www.coveredca.com\/\" rel=\"nofollow noopener\" target=\"_blank\">Covered California<\/a>) surged to a <a href=\"https:\/\/www.kff.org\/slideshow\/how-individual-market-enrollment-changed-with-the-enhanced-premium-tax-credits\/\" rel=\"nofollow noopener\" target=\"_blank\">record high<\/a>. The number of Americans without insurance fell to a <a href=\"https:\/\/www.cbpp.org\/blog\/affordable-care-act-improvements-push-uninsured-rate-to-another-all-time-low-though-share-of\" rel=\"nofollow noopener\" target=\"_blank\">record low<\/a>.<\/p>\n<p>But now that process could <a href=\"https:\/\/www.healthsystemtracker.org\/brief\/early-indications-of-the-impact-of-the-enhanced-premium-tax-credit-expiration-on-2026-marketplace-premiums\/\" rel=\"nofollow noopener\" target=\"_blank\">run in reverse<\/a>, because the program is set to expire on December 31.<\/p>\n<p>Should that happen, more than 4 million people would become newly uninsured, the <a href=\"https:\/\/www.cbo.gov\/system\/files\/2025-06\/Wyden-Pallone-Neal_Letter_6-4-25.pdf\" rel=\"nofollow noopener\" target=\"_blank\">Congressional Budget Office<\/a> predicts. Millions more would face a choice: dig deeper into their pockets to pay premiums or buy less generous policies, the kind that would leave them exposed to bigger out-of-pocket medical bills. In other words, they\u2019d pay more up front when they pay their monthly premiums, or they\u2019d pay more later on if they need medical care. Either way, they\u2019d be paying more.<\/p>\n<p>\u201cThis would be a huge premium shock for many people, and would mostly dwarf any gains they\u2019re getting from tax cuts in the Republican plan that just passed,\u201d <a href=\"https:\/\/www.kff.org\/person\/larry-levitt\/\" rel=\"nofollow noopener\" target=\"_blank\">Larry Levitt<\/a> of the health research organization KFF told me this week.<\/p>\n<p>That reality has started to dawn on Republican lawmakers, some of whom <\/p>\n","protected":false},"excerpt":{"rendered":"(Shutterstock) TWENTY-FIVE MILLION AMERICANS are about to pay more for their health care\u2014in some cases, a lot more.&hellip;\n","protected":false},"author":2,"featured_media":27875,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[49,48,84,392],"class_list":["post-27874","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-ca","tag-canada","tag-health","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/27874","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=27874"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/27874\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/27875"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=27874"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=27874"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=27874"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}