Congress Failed to Extend the Health Care Subsidies. Now What?

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December 18, 2025

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This week, despite a last-ditch effort by some House Republicans to strike a deal on health care, Congress remains deadlocked on whether to extend support for millions of Americans who get their health care through the Affordable Care Act.

Margot Sanger-Katz, who covers health care policy, explains who will be most affected by the decision.

Then, we hear directly from some of the Americans who will now face a decision: whether to keep paying for rising insurance costs or to risk going without it.

GuestMargot SangerKatz () , a reporter for The New York Times who covers health care policy and government spending.

Background reading:

• Four Republicans joined Democrats’ bid to force a vote on health subsidies () .

• Obamacare users will be asked to pay more () for plans that cover less.

Photo: Eric Lee for The New York Times

For more information on today’s episode, visit nytimes.com/thedaily () . Transcripts of each episode will be made available by the next workday.

Subscribe today at nytimes.com/podcasts () or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

Guests & Subjects Covered

House RepublicansGuest Margot Sanger-KatzThe New York TimesFour RepublicansPhoto Eric LeeApple PodcastsSpotify You

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