Rising Healthcare Costs and Policy Shifts Put Pressure on Universal Coverage Goals

Pa. approves higher ACA health insurance premiums for 2026, with some price hikes as high as 38%

15 October 2025

Pennsylvania insurance regulators approved an average 21% increase in ACA marketplace premiums for 2026, with some hikes reaching up to 38%, mainly due to the potential loss of enhanced federal tax credits set to expire at year-end. This increase will affect around 496,000 Pennsylvanians, including small business owners and gig workers, potentially making coverage unaffordable for some. The ongoing Congressional deadlock over extending these subsidies is a key factor driving the price surge. With open enrollment starting November 1, officials urge consumers to carefully compare plans without relying on the expired tax credits.

Slovenia abolishes co-payments to strengthen financial protection, WHO report highlights

14 October 2025

A new WHO/Europe report highlights Slovenia’s 2024 abolition of co-payments as a strong example for other countries aiming for universal health coverage, noting improved financial protection for households. Despite low catastrophic health spending, challenges remain with long waiting times, gaps in dental and vision care coverage, and heavy reliance on payroll taxes that may strain the system as the population ages. The report recommends broadening health system funding sources, addressing waiting times, and improving affordability for low-income groups. Slovenia’s reform simplified access but still risks increasing financial burdens for poorer households due to the flat-rate contribution.

‘A lifeline’ – Americans fear spike in healthcare costs, making some Republicans nervy

13 October 2025

Shana Verstegen and millions of Americans face uncertainty as federal Affordable Care Act (ACA) premium tax credits are set to expire at the end of the year, potentially causing health insurance costs to double. The subsidies have helped many, especially those in states that didn’t expand Medicaid, afford coverage, but without renewal, millions could lose insurance or be forced to pay much higher premiums. Some Republicans support extending the credits, while others resist due to opposition to the ACA, complicating negotiations amid a government shutdown. Experts warn that if the credits aren’t renewed before the November enrollment, insurance prices will rise regardless, impacting working-class families and possibly influencing upcoming elections.