Medical Xpress December 10, 2025
The government shutdown may be over, but Congress still hasn’t solved the biggest problem left on its plate: Extend the expiring Affordable Care Act subsidies to avoid a doubling of insurance premiums or replace them with something new altogether. Lawmakers have committed to a vote in December.
While public debate about the issue has centered on dollars and deficits, the stakes are actually far greater: Access to comprehensive health coverage can determine whether people live or die.
A new idea is now gaining traction among some lawmakers: Let the subsidies expire and replace them with federal deposits into health savings accounts. These deposits wouldn’t lower the cost of buying a plan.
Instead, the proposal assumes that people would purchase cheaper,...
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