Curie Brief
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Rising health insurance premiums are hitting everyone hard — including the people who deliver care. From a family medicine physician going uninsured to a nurse practitioner spending one-fifth of her income on premiums, healthcare workers are navigating the same broken system as their patients. The expiration of enhanced ACA subsidies and sweeping cuts are expected to leave 15 million more Americans uninsured over the next decade.
It's one thing when patients can't afford health insurance — it's another when the doctors and nurses treating them can't either. Rising premiums, the expiration of enhanced Affordable Care Act subsidies, and $1.1 trillion in cuts from the One Big Beautiful Bill Act are squeezing healthcare workers just like everyone else. A family medicine physician in Idaho dropped coverage entirely when his family's monthly premium jumped to nearly $1,600, opting instead to pay out-of-pocket from a $50,000 health savings account. A nurse practitioner at a Boise clinic now spends about one-fifth of her income on premiums — and had to skip dental insurance to cope.
The broader picture is concerning. Healthier people are opting out of insurance, leaving a sicker, costlier pool behind — which drives premiums even higher in a self-reinforcing cycle. Employers are bracing for an additional 8.2% jump in health benefit costs for 2027.
By the Numbers:
Why it matters: When healthcare workers themselves struggle to afford care, it signals a systemic crisis — not just a personal finance problem. It also raises practical concerns about self-treatment, delayed care, and the long-term stability of small independent practices.