The Spark

the Voice of
The Communist League of Revolutionary Workers–Internationalist

“The emancipation of the working class will only be achieved by the working class itself.”
— Karl Marx

One Million Plus Drop Health Care Coverage

May 4, 2026

1.2 million people chose not to sign up for Affordable Care Act (ACA) health insurance plans at the beginning of this year. More and more people are finding their coverage unaffordable and are dropping it.

Various analysts estimate that between 20 and 26% of those covered by the ACA will drop it by the end of this year. In Georgia, more than 33% have dropped ACA coverage.

Why? Because Congress allowed federal subsidies to expire at the end of 2025.

The size of the increase in costs for those no longer receiving subsidies varies with age, so people who retired early but are too young to receive Medicare have been hit the hardest. Their costs rose by over $12,000 a year, according to the New York Times. Others are switching to plans with less expensive monthly premiums but come with deductibles as high as $10,000.

Before the Affordable Care Act was passed in 2010, around 50 million people in the U.S. had no health care coverage; 16% of the population. It is certainly true that the Affordable Care Act never was affordable for many of those for whom it was their only available option. But it was substituted by the politicians of both parties to avoid providing true national health care to every American.

Nevertheless, with the subsidies in place, the number of uninsured fell to about 26 million people, or about 8%. Analysts estimate the number of uninsured to have gone up by about 5 million people already, due to the subsidies being cut off, meaning about 9.4% of the population are now without insurance, which is ridiculous in one of the wealthiest countries in the world!