Robert Applebaum

After a stalemate over extending pandemic-era Affordable Care Act subsidies led to a government shutdown in October 2025, House Democrats in December failed to force a vote on extending them. Chip Somodevilla/Staff via Getty Images News

As millions of Americans face a steep rise in health insurance costs, lawmakers continue a century‑long battle over who should pay for health care

US health care policy will remain fractured until lawmakers address the core question of who is responsible for health care costs.

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