Forbes December 19, 2025
After weeks of wrangling, Republicans and Democrats failed to find common ground, effectively dooming last-ditch efforts to extend the ACA tax credit that enabled millions of Americans to obtain coverage through the Affordable Care Act (aka, “Obamacare”).
As a result, more than 20 million Americans who currently obtain coverage through the ACA will face steep premium increases in January. Many may see their costs more than double. If millions fail to renew, or drop coverage they can no longer afford, it will swell the ranks of the uninsured.
How We Got Here
The ACA, signed into law in 2010, primarily helps people who can’t get health insurance through their employer and don’t qualify for Medicare or Medicaid. They include self-employed...
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