October 8, 2025
(Philadelphia, Pennsylvania) — Last week, KFF Health released a new poll showing that over three quarters of Americans believe that Congress should extend the Affordable Care Act subsidies—including most Republicans and MAGA supporters. If Republicans let the subsidies expire, insurance premiums are set to nearly double.
“Poll after poll shows the vast majority of Americans, regardless of political party, want to see ACA subsidies extended. We’re already living in an affordability crisis and if Republicans in Congress fail to act, their health care costs will go through the roof,” said Shaughnessy Naughton, President of 314 Action.
KFF Health found that 70% of respondents would not be able to afford insurance premiums if they doubled—and over 40% said that they would be forced to go without insurance due to the spike in costs.
“Health care will be the deciding issue in 2026. 314 Action is working harder than ever to elect doctors and scientists who understand how Republicans’ health care cuts would devastate their patients and know how to fix the health care system from the inside out,” Naughton added.
Key information from KFF Health’s poll:
- More than three-quarters (78%) of the public say they want Congress to extend the enhanced tax credits available to people with low and moderate incomes to make the health coverage purchased through the Affordable Care Act’s Marketplace more affordable, a new KFF Health Tracking Poll finds.
- Most Republicans (59%) and “Make American Great Again” supporters (57%) favor extending the enhanced tax credits, which otherwise would expire at the end of the year and require Marketplace customers to pay much more in premiums to retain coverage.
- Among the public overall, more than eight in 10 say they would be concerned about the expirations of the tax credits if they heard that health insurance would become unaffordable for many people who buy their own coverage (86%), that about 4 million people would lose their health insurance coverage (86%), or that millions of people who work at small businesses or are self-employed would be directly impacted because they rely on the ACA Marketplace (85%).
- When asked if they could afford health coverage if their premiums nearly doubled, seven in 10 (70%) of those who purchase their own insurance say they would not be able to afford the premiums without significantly disrupting their household finances, more than twice the share (30%) who say they could afford the higher premiums.
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