In Virginia, premiums on policies sold under the Affordable Care Act are pushing health coverage out of reach, and customers see political forces at work.
In the first four days of open enrollment, the Trump administration said, 601,462 people selected health plans in the federal marketplace, HealthCare.gov.
President Trump is expected to issue an order on Thursday to allow the sale of health insurance plans that are exempt from some Affordable Care Act rules.
Senate Republican leaders are seeking a vote next week on the Affordable Care Act, but have yet to decide whether to repeal and replace it now or repeal it now and replace it later.