Why Americans’ pocketbooks will be increasingly pinched

By year's end, a middle-income family can expect to see their health insurance premiums more than double, costing an additional $3,500. 
A sign held at a KanCare Medicaid expansion rally on March 15, 2023, highlights the coverage gap that makes health insurance unaffordable for many in the state. The protests never moved the needle. Three years later, more than 143,880 Kansans, or 25% of previous marketplace enrollees, have lost their health insurance. Photo by Sherman Smith/Kansas Reflector
by The New York Times
Published: August 17, 2026
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By year’s end, a middle-income family can expect to see their health insurance premiums more than double, costing an additional $3,500. 

One of the federal government’s great achievements this century was making health insurance affordable to millions more Americans. 

In 2010, nearly 18 percent of people under 65 lacked insurance. By 2024, the rate had fallen below 10 percent, thanks to the Affordable Care Act and later legislation that built on it.

President Trump and congressional Republicans are working to dismantle that achievement. 

The New York Times

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