If the health care tax credits are not extended, ACA premiums will more than double for a majority of the 24 million people who buy their insurance directly through the marketplace. Republicans have done nothing to address this and could end the shutdown by reaching an agreement with Democrats. According to the Kaiser Family Foundation article linked above, half the voters who purchase plans through the marketplace are small business owners or work for a small business; a quarter of all farmers are also insured this way. Given the already high costs and precariousness of American healthcare, the increased premiums will cause massive disruptions and chaos, sending prices even higher.
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