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More Americans Turn to Cash-only Doctors as Health Care Costs Rise

The end of federal Affordable Care Act subsidies will shift costs to taxpayers and insurers, causing average premiums to increase by 114%, KFF reports.

  • Thursday, Affordable Care Act subsidies expired, ending enhanced tax credits that benefited almost 22 million Americans at the end of 2025.
  • Enhanced premium tax credits created by the American Rescue Plan Act and renewed in 2022 expired in December, with Republicans saying the subsidies were never intended to be permanent.
  • The Texas Association of Health Plans warned premiums for over 3 million Texans relying on tax credits could jump, with insurers proposing about 35% increases for 2026 plans, according to the organization.
  • Affordable Care Act users face choosing between coverage, groceries, or rent as experts predicting coverage loss estimate at least 1 million Texans may drop or lose coverage, with premiums potentially doubling.
  • Radio host Spike O'Neill said expiring subsidies will impact taxpayers, non-ACA insurance holders face rising premiums, and patients seeking alternatives turn to the direct primary care model.
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fightbacknews.org broke the news in on Sunday, January 4, 2026.
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