Curie Brief
Turn on cookies to sign in
Signing in saves your progress to your Curie account. We can only do that with cookies on — turn them on to continue.

As ACA premiums soar, 3 million Americans have abandoned Obamacare plans in 2026, turning to short-term insurance, health-sharing programs, or no coverage at all. Experts warn these alternatives often lack consumer protections, leaving people vulnerable to denied claims and uncovered costs. With a median 15% premium hike proposed for 2027, the affordability crisis shows no signs of easing.
Three million Americans have walked away from Affordable Care Act (ACA) marketplace plans in 2026, driven by soaring premiums and deductibles after the expiration of enhanced COVID-era tax credits. February effectuated enrollment dropped 12% year over year — the first decline since 2019 — leaving many scrambling for alternatives like short-term plans, health-sharing programs, or no insurance at all.
Those who've left are landing in what one expert calls the "wild, wild West" of health coverage. Short-term plans offer lower premiums but cover only hospitalization and critical illness, while health-sharing programs — often faith-based — lack standard consumer protections and can carry high out-of-pocket minimums. Many Americans are simply skipping preventive care, annual checkups, and cancer screenings altogether, raising alarm among hospital systems already reporting rising costs from treating uninsured patients.
By the Numbers:
Why it matters: The coverage gap isn't just a financial issue — it's a public health one. People skipping screenings and preventive care today could translate into more serious, costly health crises tomorrow, putting further strain on an already stretched healthcare system.