Trump is Making Health Care Unaffordable Again 

Substantial cuts to Medicaid in the Trump administration’s One Big Beautiful Bill and a refusal by Republicans to renew Affordable Care Act tax credit subsidies will bring the total of uninsured Americans to about 31 million by 2027. Tens of millions more will experience sticker shock when they get their health insurance bills from the ACA, Medicaid, Medicare and private companies. 

Health care premiums are rising — but we’re missing the real problem

As millions of Americans open notices about their 2026 health insurance premiums, the sticker shock is real. Average out-of-pocket premiums are expected to more than double — $888 annually in 2025 to $1,904 in 2026 — due to the expiration of enhanced Affordable Care Act subsidies. The political fight over these subsidies has dominated headlines and even triggered a government shutdown.

But as Washington debates the critical question of how much Americans should pay for health ...