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Obamacare expiration will have 'death spiral' effect on U.S. healthcare

By The Guardian  
   December 15, 2025

With subsidies for Affordable Care Act health insurance set to expire, Americans who rely on them will probably switch to plans with lower monthly premiums and high deductibles or decide not to purchase any coverage, which will have a serious and damaging impact on the entire sector, according to healthcare policy experts. The average amount ACA plan enrollees pay annually for premiums is estimated to more than double, from an average of $888 this year to $1,904 in 2026, according to a KFF analysis. That will then have economic downstream effects, including for rural hospitals and people who have employer-sponsored health insurance, according to the experts.

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