Health

The Premium

What it costs you to be this healthy.

• +26%Your marketplace premium, 2026 — The steepest sticker increase since 2018 — the insurers priced the subsidy expiry and the tariffs right into it.
• +58%What enrollees actually pay — $113 to $178 a month after the enhanced credits expired December 31 — actual 2026 data, not a projection.
• +37%The deductible — $2,759 to $3,786 — the steepest jump on record. More per month, for a plan that starts paying later.
• 3 millionWho left — Paid marketplace enrollment fell from 22.1 to 19.2 million — the first decline since 2020, pinned by analysts on the price shock.
• 10 millionMedicaid, by 2034 — More uninsured under the July 2025 law, by the CBO's score of the enacted text. Work requirements go national January 2027; Nebraska went first.
• 146Rural maternity wards — Rural hospitals that have closed or announced closing labor-and-delivery since 2020. The law cuts $137B from rural Medicaid and replaces $50B — 37 cents on the dollar.
• 2.5×The standing arrangement — US health spending per person against the OECD average — $14,885 to $5,967 — to live 3.7 years shorter than comparable countries.

Figures from KFF, the CBO and the carriers’ own filings. Projections say so; actuals are dated.