If GOP win in November, expect uninsured rate to spike
The uninsured rate remained steady last year, at roughly the lowest level ever recorded. That's a small miracle — but one that could vanish if lawmakers don't act soon.
The share of Americans without health insurance coverage was just 8 percent in 2023, statistically indistinguishable from the record low reached the prior year (7.9 percent), the
It's not perfection, but it's progress. And it's largely due to a stealth Obamacare expansion that
In laws enacted in 2021 and 2022, President
The bigger tax breaks reduced or effectively wiped out the cost of premiums paid for many marketplace plans. Some households were newly able to buy plans that charged zero premiums at all; many others paid a nominal amount. In fact, 4 out of 5 Healthcare.gov customers are eligible to enroll in plans that cost no more than
As word about these inexpensive premiums spread, more Americans signed up for marketplace coverage. Federal and state officials have also ramped up their own outreach about marketplace subsidies, which were especially attractive to Americans who would otherwise lose their insurance when pandemic-era Medicaid coverage mandates ended.
The result: In 2023, enrollment in marketplace plans reached a record high. Even better, other government data shows it continued to rise into 2024. An estimated 20.8 million Americans are now enrolled in these plans, nearly double what it was just before Biden took office.
Low-income enrollees have driven nearly all (83 percent) of the growth, KFF data shows. That's because lower-income households have benefited from both premium subsidies and other programs that reduce out-of-pocket costs.
Unfortunately, all this progress is at risk.
That's because the expanded premium subsidies are scheduled to expire in
Oddly, this ticking time-bomb has gotten little attention in the election thus far, especially compared with other tax-related issues that affect a much narrower slice of voters.
For example, exempting tips from taxation (as both Vice President
Meanwhile, nearly 20 million Americans will see their premiums go up if those tax credits lapse as scheduled. Even worse, 4 million people would lose coverage entirely, the
To her credit, Harris has occasionally talked about the importance of extending these premium supports, even if it's not what she leads with. Trump has ignored the issue entirely.
But if you want to know what another Trump presidency would foretell, look to his Republican allies in
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