For six weeks starting October 1, the federal government was shut down because of Democratic Party concerns that the ending of the temporary Affordable Care Act enhanced subsidies, enacted in 2021, would have a devastating impact on many Americans. In September, the Urban Institute had estimated that over 7 million households would no longer receive government subsidies, leading 4.8 million to lose health coverage. Ads began appearing showing older married couples whose premiums would more than quadruple.
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