Articles on Health insurance costs

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After a stalemate over extending pandemic-era Affordable Care Act subsidies led to a government shutdown in October 2025, House Democrats in December failed to force a vote on extending them. Chip Somodevilla/Staff via Getty Images News

As millions of Americans face a steep rise in health insurance costs, lawmakers continue a century-long battle over who should pay for health care

US health care policy will remain fractured until lawmakers address the core question of who is responsible for health care costs.
Concessions to the private sector are one reason why health care is so costly. FS Productions/Tetra images via Getty Images

US health care is rife with high costs and deep inequities, and that’s no accident – a public health historian explains how the system was shaped to serve profit and politicians

Research shows that decades of policy choices shaped today’s fragmented health care system – which is precisely why reform is so difficult.
A provision of the Affordable Care Act makes it easier for patients to receive preventive care. Jose Luis Pelaez Inc/Digital Vision via Getty Images

The next attack on the Affordable Care Act may cost you free preventive health care

The Affordable Care Act has allowed many preventive health services, including cancer screenings and vaccines, to be free of charge. But legal challenges may lead to costly repercussions for patients.

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