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Story perspectives

End of ACA Subsidies Sparks Healthcare Crisis Fears

11/22/2025

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Story summary
  • The end of Affordable Care Act (ACA) subsidies in December 2025 is raising concerns among small business owners in the U.S.
  • Andy Lilienthal, a freelance journalist from Portland, Oregon, may see his health insurance costs rise from $660 to $1,700 monthly.
  • Deborah Kevin from Baltimore expects her premium to increase from $365 to nearly $1,600.
  • Alaina Shearer, an ad agency owner, is contemplating forgoing health insurance due to escalating costs.
  • A West Health-Gallup study shows nearly 50% of adults worry about affording healthcare in 2026, indicating a healthcare crisis.