KevinMD November 10, 2025
As a physician with decades of experience, I have watched health care in this country change from a patient-centered calling into a profit-driven corporate enterprise. Much of the current political rhetoric surrounding the Affordable Care Act (ACA) conveniently ignores the real structural issues that drive up premiums and reduce access for ordinary Americans.
The recent claim that, if Republicans “get their way” and ACA tax credits expire, insurance costs will skyrocket by thousands of dollars is a gross oversimplification. The Affordable Care Act originally provided premium tax credits for individuals earning up to 400 percent of the federal poverty level (FPL). The 2021 American Rescue Plan temporarily expanded those subsidies to cover incomes up to 700 percent of the FPL,...
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