NEW YORK — For many American families, the impending loss of government-sponsored health subsidies next year spells a grim reality: the choice between lower-quality insurance plans or none at all. In Wisconsin, one couple is staring down a jump from $2 a month for a top-tier health plan to an astronomical $1,600—forcing them to downgrade to a bronze plan with a $15,000 deductible.

Chad and Kelley Bruns, both retirees in Sawyer County, Wisconsin, have always been frugal. Their sacrifices, from cutting firewood to save on heating bills to avoiding unnecessary purchases, have now taken on new urgency as healthcare costs spike. Kelley worries a significant medical event might lead them to bankruptcy.

Meanwhile, in Michigan, the Roof family grapples with similar woes. Costing $500 a month, their ACA insurance plan is projected to jump to over $700 monthly, prompting their decision to go without insurance entirely for 2026. Dave Roof reflects on the anxiety such a drastic decision brings, acknowledging the financial strain already present in their simple lifestyle.

Across the country, Nevada social worker Katelin Provost faces a monumental shift as her premium rises from $85 to nearly $750 monthly. This escalation forces her to reassess her family's finances, with the potential of reducing Christmas expenses to accommodate the additional healthcare burden. Hoping for a timely intervention from Congress, Provost's story illustrates the widespread financial impact of these health insurance changes.

As less than three weeks remain until subsidies expire, the realities of increasing premiums loom large for countless Americans. Without renewed assistance, many are uncertain about their healthcare futures.