HEALTH

Health Insurance Costs Rise, Putting Pressure on Middle-Income Earners

USAWed Oct 29 2025

Health insurance prices are increasing, and it's not good news for many people. The government recently revealed the new prices for health plans under the Affordable Care Act (ACA) in 30 states.

Average Price Increases

  • 30% in states where the federal government manages the plans
  • 17% in states that handle their own markets

Impact on Consumers

Most of the over 20 million Americans covered by the ACA receive help paying for their insurance through tax credits. These credits make the plans more affordable. The help increased in 2021 but is set to expire next year unless Congress decides to extend it.

Factors Driving Price Hikes

  • Rising drug and hospital costs
  • Concerns about fewer young, healthy people signing up if subsidies end

Real-Life Example

Sue Monahan, a retired university administrator from Oregon, will see her monthly insurance cost jump from $439 to $1,059 if the enhanced subsidies expire.

"It’s not there for what you foresee; it’s there for the unexpected expensive events."

Open Enrollment Begins

Starting Saturday, Americans can begin choosing their plans for next year at healthcare.gov. Experts worry that some people might drop their insurance when they see the higher costs, even if Congress later renews the subsidies.

Who Will Be Hit Hardest?

  • Individuals earning more than about $64,000 a year
  • Entrepreneurs
  • Small business employees
  • Early retirees

Impact on Low-Income Individuals

About half of the people insured under the ACA have incomes near the poverty level. They currently pay nothing toward their premiums, but their costs will go up by around $25 to $85 a month.

Expert Insights

David Merritt, a spokesman for the Blue Cross Blue Shield Association, pointed out that younger, healthier consumers might think they don't need coverage. This could leave older and sicker people in the marketplace, making insurance more complicated and expensive for everyone.

questions

    How do the current Obamacare price increases compare to historical trends in health insurance costs?
    What alternative health insurance options are available for individuals who find Obamacare plans unaffordable after the subsidy expiration?
    If Congress can't agree on extending subsidies, should we just start a barter system for healthcare?

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