Without a last-minute extension of enhanced tax credits, Americans who purchase health insurance through the Affordable Care Act will see their premiums spike in January. How did we get here, and why are health care access and affordability such persistent policy challenges? Dr. Heidi Russell and Elena M. Marks joined the “Baker Briefing” podcast to discuss what happens when the ACA subsidy enhancements expire and offer insights for moving the U.S. health system forward.

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This conversation was recorded on Nov. 20, 2025. 

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