When health insurance costs more than the mortgage

February 2, 2026 / 5:00 AM EST / KFF Health News

When health insurance costs more than the mortgage

TL;DR

  • Enhanced ACA subsidies, which helped millions cover marketplace premiums, expired on December 31.
  • Middle-income individuals are facing significantly increased monthly premiums and deductibles for health coverage.
  • Some individuals are opting for skimpier plans, rationing medications, or dropping coverage entirely.
  • Rising costs of living, including groceries and housing, are compounding the issue of unaffordable healthcare.
  • Most Republican lawmakers have not supported renewing the enhanced subsidies.
  • About 1.2 million fewer people have signed up for ACA plans this year.
  • Insurers anticipate healthier people dropping plans, leading to higher premiums in the future.