More than half of Americans enrolled in Affordable Care Act marketplace plans live in congressional districts represented by Republicans—the very politicians working to dismantle the program. As enhanced premium subsidies expire at the end of 2025, millions of Americans face insurance rate increases between 80 and 100 percent, with some states seeing premiums more than double. This investigative analysis documents how misinformation and partisan identity have led voters to oppose policies that protect them, drawing parallels to Reagan’s deinstitutionalization of mental health facilities that contributed to today’s homelessness crisis. Through comprehensive data on medical bankruptcy (530,000 annually), hospital consolidation driving 20-60 percent price increases, and state-by-state premium projections, the article reveals the impossible choices facing families who must decide between food, housing, and healthcare. With the 2026 midterms approaching just weeks after open enrollment, voters will confront the direct consequences of legislative decisions on their household budgets and survival.
View More The Very People Who Once Condemned Obamacare Now Beg for It