29 Oct 2025
8m

Is Obamacare doomed without extended subsidies?

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The Indicator from Planet Money

The podcast discusses the potential expiration of Obamacare health insurance subsidies and the concept of an "adverse selection death spiral." It explains how the Affordable Care Act (ACA) was designed to prevent such a spiral through mandates and subsidies, and how enhanced subsidies in recent years have strengthened the ACA marketplace. The hosts explore whether letting the current subsidies expire could lead to a death spiral, concluding that while premiums would rise and some people might drop coverage, the market is unlikely to collapse due to the original subsidies remaining in place. The episode highlights the ongoing debate in Congress regarding the future of these subsidies.

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