ACA Subsidies Set to Expire as Trump Declares Health Care Should Be ‘Survival of the Richest’

WASHINGTON, D.C. — President Donald Trump celebrated the looming end of enhanced Affordable Care Act subsidies Friday, hailing the shift as “a bold return to true American values—where only the strongest wallets survive.”

The subsidies, which helped over 22 million people afford coverage, are set to vanish at the end of the year unless Democrats pull off an unlikely win against Trump’s allies in Congress. Without them, premiums are projected to soar an average of 75% in 2026—with some families facing jumps from a few hundred dollars to nearly $2,000 a month.

“Why should government help you pay for expensive stuff like chemo?” Trump told reporters. “If you really need treatment, get rich or get creative. That’s capitalism.”

Health-policy researchers warn that up to four million people could go uninsured by 2026 if subsidies lapse and insurers push through planned hikes. The White House insists the market will “separate winners from whiners.”

Enrollment for 2026 plans opens Nov. 1, promising Americans a simple choice: pony up, stay lucky, or hope the Democrats pull off a miracle in Trump’s Survival of the Richest.