HEALTH
Health Insurance Hike: What's Next for Obamacare Users?
Miami, Florida, USA,Sat Jun 14 2025
Many people rely on Obamacare for health coverage. This includes folks like Josefina Muralles, who lives in Miami. She works part-time at night and takes care of her family during the day. Her family includes her three kids, her aging mother, and her brother, who is paralyzed. Her brother, Rodrigo, needs constant care because he has epilepsy and got COVID-19 in 2020. He can't even ask for what he needs anymore.
Josefina and her husband earn just enough to not qualify for Florida's Medicaid but can get subsidized health insurance through Obamacare. This has helped them pay for her medicines and surgeries. However, the extra help they got during the pandemic will end soon. Without it, their insurance costs could go up by more than 75% on average. Some states might see even bigger increases.
Florida and Texas have the most people signed up for Obamacare. This means many people there could face big premium hikes. Low-income families like the Muralles will see the biggest increases. Middle-income folks might lose their subsidies altogether. This could lead to more people without health insurance.
Julio Fuentes, who leads the Florida State Hispanic Chamber of Commerce, says many small business owners rely on Obamacare. He hopes lawmakers will extend the enhanced subsidies to keep these voters happy. Enrollment in Obamacare has grown a lot since 2020, especially in states that voted for Trump in 2024. Many of these enrollees are Republicans.
Some people think the enhanced subsidies were a temporary fix and should end. They argue that keeping them could lead to fraud and higher health costs. Others, like Lauren Aronson from Keep Americans Covered, worry that ending the subsidies will leave working families struggling. She hopes Congress will extend the subsidies to avoid this.
The Blue Cross Blue Shield Association wants Congress to act soon to avoid confusion. Without the enhanced subsidies, there could be fewer insurance options and higher prices. This could hurt states like Florida and Texas, where Obamacare enrollment has spiked. Josefina Muralles hopes her representatives will do what's best for people like her, who need health insurance to care for their families.
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questions
What are the potential long-term effects on healthcare access for Hispanic and Black communities if the enhanced subsidies are not extended?
How will the expiration of enhanced subsidies affect the overall affordability of healthcare for low-income families?
What role do short-term health plans and other alternative coverage models play in filling the gap left by the expiration of enhanced subsidies?
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