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They're uninsured after Obamacare became too costly. And they're far from alone.

June 15, 2026 / 5:00 AM EDT / KFF Health News

They're uninsured after Obamacare became too costly. And they're far from alone.

TL;DR

  • Ross and Rebecca Tobiassen canceled their ACA health insurance due to a significant increase in their monthly premium, from $130 to over $550.
  • The expiration of enhanced tax credits, established by the American Rescue Plan Act, is a primary driver for increased costs and people dropping coverage.
  • North Carolina has seen a 22% decrease in individual ACA signups for 2026, the largest drop nationwide.
  • Experts predict a potential drop in ACA enrollment from over 22 million to as low as 16.5 million in 2026.
  • The departure of healthier individuals from the insurance market may lead to higher premiums for those who remain, a phenomenon termed a 'death spiral'.
  • Many who have dropped coverage are now opting to go without insurance, facing risks of significant medical bills, relying on savings, credit cards, or family.