The Price of Care: Fixing The ACA

What A Day

The main issue keeping the government closed is healthcare — specifically, the enhanced Affordable Care Act subsidies that have been in place since 2021 and further lowered premium costs for Americans. Democrats want the enhanced subsidies extended, Republicans don’t. Without them, folks who rely on healthcare plans they bought on the exchange will see their premiums skyrocket. But there are other countries with private insurance options where healthcare doesn’t cost so much that people risk going without it. To find out what’s going on here and what America could do about it, we spoke to Mark Shepard. He’s an associate professor of public policy at the Harvard University Kennedy School of Government. And in headlines, the U.S. extends its trade deal with Mexico for several weeks, USDA confirms food stamps will not go out November 1, and a rag-tag group of former USAID workers band together to fund some of the shuttered agency’s most critical programs.
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The main issue keeping the government closed is healthcare — specifically, the enhanced Affordable Care Act subsidies that have been in place since 2021 and further lowered premium costs for Americans. Democrats want the enhanced subsidies extended, Republicans don’t. Without them, folks who rely on healthcare plans they bought on the exchange will see their premiums skyrocket. But there are other countries with private insurance options where healthcare doesn’t cost so much that people risk going without it. To find out what’s going on here and what America could do about it, we spoke to Mark Shepard. He’s an associate professor of public policy at the Harvard University Kennedy School of Government. And in headlines, the U.S. extends its trade deal with Mexico for several weeks, USDA confirms food stamps will not go out November 1, and a rag-tag group of former USAID workers band together to fund some of the shuttered agency’s most critical programs.
2025-10-28 22 min
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