Congress left for vacation knowing ACA subsidies would expire. In 2026 premiums spiked as high as 114 percent, millions face dropping coverage, and patients carry the cost. This is not partisan politics. This is survival, access, and who gets left behind.

Congress let ACA subsidies expire and premiums are set to more than double. Most ACA enrollees live in GOP districts now facing coverage loss hospital closures and higher costs for everyone. The healthcare death spiral has arrived and it targets its own voters first.