Many middle-income Americans, including Noah Hulsman, Loretta Forbes, and Nicole Wipp, are facing tough choices regarding health insurance after the expiration of enhanced Affordable Care Act (ACA) subsidies. With premiums skyrocketing—Forbes’s increased from $250 to $2,500 and Wipp’s exceeding her mortgage—families are opting for reduced coverage or dropping plans altogether. A January KFF poll revealed that over 80% of Americans feel their cost of living has risen, with health care costs being a major concern. The lack of congressional action on renewing the subsidies is exacerbating the financial strain on these households, forcing them into difficult decisions about their health care.