Forbes December 29, 2025
Steve Brozak

Unless Congress reconvenes in January to engineer a last-minute extension, the United States is on the verge of a major healthcare change in 2026; it will expose the fragility of an already failing system. The likely expiration of enhanced Affordable Care Act (ACA)/Obamacare insurance subsidies are not simply an isolated policy event. Instead, they are a stress test—one that will reveal how deeply American healthcare has drifted away from medicine and toward an entrenched industrial-healthcare complex.

Healthcare in America is no longer the province of friendly physicians immortalized in Norman Rockwell paintings, nor is it the domain of scientists in white lab coats pursuing cures. It is instead a massive business ecosystem shaped by Wall Street that incentivizes and optimizes...

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Topics: ACA (Affordable Care Act), Congress / White House, Govt Agencies, Healthcare System, Insurance, Patient / Consumer, Provider, Public Health / COVID
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