05/15/2026
1.2 million fewer people signed up for ACA coverage this year compared to last. Nebraska just became the first state to impose work requirements on Medicaid recipients. And enrollment is expected to drop by millions more as higher premiums push people out.
Here's what that means in real terms: more people skipping care they need, more surprise bills they can't pay, and more medical debt piling up in communities that were already stretched thin.
We know how this plays out. When coverage shrinks, medical debt grows. Every person who loses coverage or gets priced out becomes more exposed to the billing system that created this crisis in the first place.
Affordable, comprehensive coverage is the only real prevention for medical debt. It takes patients out of the financial equation entirely. Without it, we're left treating the symptoms while the problem gets worse.
We'll keep erasing debt for as long as it takes. But debt relief is an intervention, not a solution. The system has to change. đź’™