1 in 10 ACA enrollees dropped their coverage due to rising health care costs: Poll
The healthcare.gov website on a laptop arranged in Norfolk, Virginia, US, on Saturday, Nov. 1, 2025. (Stefani Reynolds/Bloomberg via Getty Images)
(NEW YORK) — When Jessica Chamberlain went to sign up for health insurance coverage under the Affordable Care Act (ACA) for 2026, she not prepared for the sticker shock.
Last year, Chamberlain was paying $59.67 in monthly premiums. This year, she would be paying nearly $100.
The 43-year-old mother of two from Illinois said she was floored to see her monthly premiums were nearly doubling.
“I can’t afford that as a single mom with two kids,” she told ABC News.
After carefully weighing her options, Chamberlain decide to forego health insurance and is currently uninsured.
“What do I sacrifice [to pay for health insurance]? I’m diabetic,” she said. “What do I have to sacrifice to keep my medications and my health afloat?
Chamberlain is not alone. Nearly one in 10 people enrolled in the ACA Marketplace last year dropped their coverage in 2026, according to a new KFF survey published Thursday.
The findings come amid rising health care costs and the end of the enhanced premium tax credits. The tax credits helped lower the cost of monthly premiums for about 22 million Americans covered under the ACA and expired at the end of 2025, with no plans by Congress to extend them.
The survey built upon a previous KFF poll conducted in 2025 among Marketplace enrollees. Surveyors re-interviewed more than 1,100 adults between Feb. 2 and March 2, 2026.
Of the respondents, 69% said they re-enrolled in Marketplace coverage with 39% selecting the same plan and 29% switching plans.
More than half, or 51%, of returning ACA enrollees said their health care costs are “a lot higher” this year compared to last year. Of this group, four in 10 specifically said their premiums are “a lot higher.” Additionally, 80% said all health care costs — including premiums, deductibles, co-pays or coinsurance — are higher.
Meanwhile, 9% of Marketplace enrollees dropped their ACA coverage and are currently uninsured.
When asked why they decided to drop or change their coverage, most respondents said costs were the driving factor.
One of the respondents, Holly Weir, a 26-year-old from Ohio, told ABC News she was paying $30 in monthly premiums last year under a plan run by UnitedHealthcare. This year, her plan went to $177 in monthly premiums.
“I didn’t do anything to pick a new health care plan. I got the bill in the mail and I was like, ‘[Expletive]!'” Weir said. “I didn’t pay too much attention until I got the bill the next month and I was like ‘Oh my God, this isn’t from me going to see a medical provider.'”
Weir decided to cancel her insurance and has applied for Medicaid coverage. She is currently waiting to see if she will be approved.
Weir said she is a thyroid cancer survivor, and she has to see an oncologist every two months or so, in addition to taking regular medication.
“Once that runs out, I’ll get a lot more scared,” she said. “Of course, I’m not going to be stupid and leave it so long. If it does come to it, I’ll pay [for the insurance]. The idea that I would have to spend that each month is frustrating. I’m already not doing amazingly financially.”
The survey found that even those who re-enrolled in the ACA Marketplace may need to rework their household budgets.
More than half, or 55%, said they need to cut spending on food or other basic household expenses to afford their health care costs.
Among those with chronic health conditions, 62% of those who reenrolled in the ACA Marketplace said they will be cutting back on food and other basics.
The survey found that 22% of respondents did not re-enroll in the ACA Marketplace and got coverage through an employer, Medicare, Medicaid or another health plan outside the Marketplace.
Chamberlain, who also responded to the survey, said her kids qualify to be on state-run Medicaid. However, she said she doesn’t qualify because she makes too much in her current role working in probation.
She is hoping she can find another insurance plan to help cover health care costs.
“This is destroying people who have pre-existing conditions,” she said. “It is affecting people, especially single moms. We’re just trying to live.”
Boxes and vials of the Measles, Mumps, Rubella Virus Vaccine at a vaccine clinic put on by Lubbock Public Health Department on March 1, 2025 in Lubbock, Texas. Jan Sonnenmair/Getty Images
(NEW YORK) — As measles continues to spread across the U.S., with outbreaks popping up around the country, public health experts have been stressing the importance of getting vaccinated to stop the spread of disease.
This has involved local doctors and health department workers going into outbreak areas to offer the measles, mumps, and rubella (MMR) vaccine.
The MMR vaccine is typically a two-dose series given first at 12-15 months old and again at 4-6 years of age. An extra dose can be given as early 6 months old in high-risk circumstances, including during a measles outbreak.
Health experts working in and near measles outbreaks told ABC News that vaccine acceptance has been mixed among these communities, with some people begging to get their kids vaccinated early, while others still refuse an immunization.
“[Measles] can spread so quickly amongst that unvaccinated population,” Dr. Christopher Lombardozzi, chief medical officer at Spartanburg Regional Healthcare System, told ABC News. “And if the number of people who remain unvaccinated stays large, then we could have a real problem, not just this year, but in years to come.”
Vaccine hesitancy in outbreak areas
The upstate region of South Carolina is experiencing a surge in measles cases amid the ongoing outbreak.
The South Carolina Department of Public Health (DPH) reported 223 new cases over the last week, bringing the total number of cases in the outbreak to 434 since October, with over 400 people currently in quarantine due to exposure. Spartanburg County, which borders North Carolina, is currently the epicenter of the outbreak.
A spokesperson for Spartanburg Regional Healthcare System told ABC News that, as of Jan. 9, there have been 77 confirmed measles cases across the system since the outbreak began.
Lombardozzi said the health care system has seen some increased vaccine uptake, but not as much as they hoped for.
“We certainly have had some more uptake of vaccine in the last six months or so, since the outbreak started here in South Carolina, and I’m happy for that,” Lombardozzi said. “I would love to see a higher uptake. There is still quite a bit of vaccine hesitancy around here, and I think it’s unwarranted.”
Lombardozzi added that addressing vaccine hesitancy takes time and support.
“We try to support people, meet them where they are, and hopefully they will change their mind if they’ve been vaccine hesitant for a while,” he said.
Lombardozzi worries that without increasing immunizations, the negative effects could ripple for years.
In a press conference on Wednesday, Dr. Linda Bell, state epidemiologist and health program branch director for the South Carolina DPH, said the lack of vaccine acceptance amid the growing outbreak has been “disappointing.”
Bell said vaccines could have helped prevent a majority of cases, adding, “We have an opportunity to prevent further cases, if people can adopt these available tools and help us stop this outbreak sooner rather than later.”
As of Tuesday, another ongoing outbreak in Utah surpassed 200 measles cases since it began in June of last year. The southwest region of Utah has reported 147 of those cases, which equates to a rate of 25.8 cases per 100,000 people in that region.
David Heaton, public information officer at the Southwest Utah Department of Public Health, told ABC News that cases in southwest Utah and further north have been linked to the same measles virus that spread in Texas and New Mexico last year.
Heaton worries that measles will soon be declared endemic again, ending the decades-long elimination status in the U.S.
“That’s kind of a discouraging threshold that we’re getting closer to. I think [the loss of elimination status] could be recovered, but it could take a couple of years at least,” Heaton said.
In the Southwest region, vaccine acceptance has been highest among people who were on the fence or those who accidentally missed vaccines, but those with strong beliefs against vaccines have been “fairly immovable,” Heaton added.
“We’re just seeing the attitude of, ‘I choose not to get vaccinated. I don’t agree with vaccinations, and I’m not going to do it. I don’t feel the risk is high enough to get the vaccine,'” he said.
Some success in vaccine uptake
But there have been examples of success. Last year, during a large outbreak from February to September, the New Mexico Department of Health (NMDOH) reported that MMR doses administered were nearly 50% higher than the year prior by October.
The largest gains were due to adult vaccination that increased by about 230% in October 2025 compared to October 2024. Children receiving the MMR shot only increased by about 10% compared to that time the previous year.
Andrea Romero, immunization program section manager at NMDOH, told ABC News communication was key during the outbreak. Romero said most of the adults who got vaccinated did so because they were unsure of their vaccination status and felt a strong sense of duty to get the shot, not just to protect themselves but to protect their community.
“When they know that they’re making a difference, it matters,” Romero said. “Every time I take that opportunity [to say], ‘Thank you for being a great community and your response, caring about yourself, your family, your neighbor,’ but it means a lot because it’s their efforts. It was their response that made the difference.”
NMDOH data shared with ABC News shows that 384 children with a vaccine exemption on file received at least one MMR shot between Jan. 13, 2025 and Jan. 13, 2026. This suggests parents of these children changed their minds about the vaccine around the time of New Mexico’s measles outbreak, according to health department officials.
During that same timeframe, at least one MMR dose was the only immunization on record for 189 children in the state, the data shows.
Fears of further measles spread
Doctors near outbreak regions are also experiencing the effects of fears and questions about measles and vaccination from their community.
Dr. Deborah Greenhouse, a spokesperson for the American Academy of Pediatrics and pediatrician in South Carolina, told ABC News that her community hasn’t had a measles case yet, but parents and healthcare providers are increasingly concerned.
“As we all know, and as my patients know, measles virus does not respect county borders, so, as the numbers continue to rise, the likelihood that we start seeing cases here in the midlands of South Carolina increases dramatically,” Greenhouse said.
On Tuesday, health officials announced there was a measles exposure on Jan. 2 in the midlands region at the South Carolina State Museum in Columbia.
“If more families decline the vaccines, our vaccination rates drop and we become an open target, essentially a sitting duck for an outbreak, much like the Spartanburg area,” Greenhouse said.
In her experience, building a foundation of trust has been essential for vaccine acceptance.
“They know me, they trust me,” Greenhouse said. “They know that as a pediatrician, I have no interest here other than protecting the best interests of their children and their family.”
She went on, “Families that I’ve known for years, who I have a very strong relationship with, are coming in and asking for every vaccine that they can get, and asking to get the measles, mumps, rubella vaccine early, because they’re very concerned about their children being exposed to measles and not being protected.”
Greenhouse said trying to build trust among families has been particularly challenging amid changing guidance from federal health agencies and widespread misinformation.
“Unfortunately, some of the awful sources right now are people that you used to think you could trust and, as a new parent, I totally understand why it would be incredibly difficult to be able to figure out right now,” Greenhouse said.
Despite changing guidance and misinformation, doctors say the science hasn’t changed, and vaccines remain safe and effective.
“Amongst the medical community, you’re not going to get much disagreement that the vaccines are safe and that they’re effective,” Lombardozzi said. “The message is, go get your kids their shots if it’s time to get their shots. We certainly encourage folks to go talk to your pediatrician, go talk to your doctor.”
Jade A. Cobern, MD, MPH, is a practicing physician, board-certified in pediatrics and general preventive medicine, and is a medical fellow of the ABC News Medical Unit.
Robert F. Kennedy Jr., US secretary of Health and Human Services (HHS), during an executive order signing in the Oval Office of the White House in Washington, DC, US, on Thursday, Dec. 18, 2025. US President Donald Trump on Thursday signed an executive order directing his administration to move cannabis into a less restrictive federal category, setting in motion a regulatory shift that could alter the legal and commercial landscape for the drug nationwide. Photographer: Aaron Schwartz/CNP/Bloomb
(WASHINGTON) — The Department of Health and Human Services (HHS) announced on Thursday a series of proposed actions to limit access to gender-affirming care for minors.
It comes after HHS released a final version of its report on pediatric gender-affirming care last month, claiming it found “medical dangers posed to children,” which received pushback from medical groups.
Speaking at press event, HHS Secretary Robert F. Kennedy said doctors providing gender-affirming care for minors are endangering lives and lambasted medical organizations that have supported such care for transgender youth.
“They betrayed their Hippocratic Oath to do no harm,” Kennedy said. “So-called ‘gender affirming care’ has inflicted lasting physical and psychological damage on vulnerable young people. This is not medicine. It is malpractice. We’re done with junk science, driven by ideological pursuits, not the well-being of children.”
Kennedy also signed a declaration finding that gender-affirming surgeries do not meet professional recognized standards of health care, with an HHS press release stating that doctors who perform these procedures would be deemed “out of compliance with those standards.”
The proposed regulations include actions from the Centers for Medicare & Medicaid Services (CMS), the Food and Drug Administration (FDA) and the Office of Civil Rights (OCR).
CMS will issue a proposal barring hospitals from participating in Medicare and Medicaid programs if they provide gender-affirming to children under age 18.
Another CMS proposal will prohibit federal Medicaid funding for hospitals providing gender-affirming care on children under age 18 and funding from the federal Children’s Health Insurance Program.
Additionally, the FDA is issuing warning letters to 12 manufacturers and retailers for “illegal marketing” of breast binders, a compression garment worn to flatten the appearance of breasts, to children with gender dysphoria.
The agency said the letters will note that the companies are facing significant regulatory violations and how to take corrective action.
FDA Commissioner Dr. Marty Makary claimed that long-term use of breast binders among children has been linked to pain and compromised lung function. Physicians say chest binding is generally considered safe when practiced with a physician’s guidance.
“Pushing transgender ideology in children is predatory. It’s wrong, and it needs to stop,” Makary said at Thursday’s press event.
The top pediatrician group in the nation reacted to Kennedy’s declaration and the proposed actions, saying they set a “dangerous precedent.”
“Unprecedented actions and harmful rhetoric [took] place today,” the American Academy of Pediatrics said in response to the HHS announcement. They went further, saying that the proposed rules were a “baseless intrusion in the patient-physician relationship.”
Lastly, the HHS announced the OCR will move to reverse a Biden-era rule that included gender dysphoria within the definition of a disability.
November’s HHS report alleged that gender-affirming care — including puberty blockers, cross-sex hormones and gender-affirming surgeries— caused significant, long-term damage.
An early version of the report, published in May, referred to itself as a “comprehensive review” of transgender care for children and teens, calling for a broader use of psychotherapy for young people with gender dysphoria rather than gender-affirming medical interventions.
The HHS referred to the final version of the report as “peer-reviewed,” but some of those who reviewed the contents are researchers who have spoken against gender affirming care.
Some major medical groups pushed back, stating that psychotherapy first is the standard approach in gender-affirming care and that additional care, such as hormonal therapies, only occurs after in-depth evaluations between patients and doctors.
“Everyone in this country should have access to the care they need to stay healthy, including transgender and nonbinary young people,” Rodrigo Heng-Lehtinen, senior vice president of public engagement campaigns at The Trevor Project, a nonprofit focusing on suicide prevention efforts among LGBTQ+ youth, said in a statement.
“Personal medical decisions ought to be made between patients, their doctors, and their families — not through a one-size-fits-all mandate from the federal government,” the statement continued. “The multitude of efforts we are seeing from federal legislators to strip transgender and nonbinary youth of the health care they need is deeply troubling.”
In January, Trump signed an executive order stating the U.S. would not “fund, sponsor, promote, assist, or support” gender transition of those under age 19 and would “rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures.”
Transgender adults and youth may experience extreme psychological distress due to a mismatch in their gender presentation and identity, medical groups have said. They experience significantly higher rates of suicide than the general population, but some studies suggest gender-affirming care eases those feelings of distress.
While some individuals and groups have called for a slower approach to gender-affirming care for minors, other pediatric gender care experts and advocates have said ending such care can have a harmful effect on patients’ mental health and well-being.
ABC News’ Youri Benadjaoud contributed to this report.
(NEW YORK) — Long-term alcohol use has been linked to higher risks of colorectal cancer, according to a study published Monday in the journal Cancer.
Researchers found that those with heavy lifetime alcohol consumption have up to a 91% higher risk of developing colorectal cancer compared with those who drank very little. That risk significantly increased with consistent heavy consumption, whereas those who quit drinking may have demonstrated decreased risk of precancerous tissue.
“The longer someone drinks, the longer their colon and rectum are exposed damage and impaired repair, both major mechanisms of cancer,” Dr. Lynn M O’Connor, section chief of colon and rectal surgery at Mercy Medical Center and St. Joseph Hospital in New York, told ABC News.
The study followed more than 88,000 adults with no prior history of cancer. Participants reported their alcohol use beginning in early adulthood and were followed for nearly a decade to track cancer outcomes.
Compared with those who averaged one drink or less per week over their lifetime, those who consumed over 14 drinks a week had a 25% higher risk of developing colorectal cancer. The link was even stronger for rectal cancer, where one’s risk nearly doubled.
Rectal cancer is “often more difficult to treat and more involved clinically, which makes screening and early identification all the more important,” Dr. Jeffrey Farma, a colorectal cancer specialist, told ABC News.
The results come as colorectal cancers are on the rise, especially in younger people.
“We’re seeing an uptick in rectal cancers. If alcohol affects the lower part of the colon differently —we need to understand why,” Dr. Fola May, a GI specialist and associate director of the UCLA Kaiser Permanente Center for Health Equity, told ABC News.
In the study, researchers found the highest risks among people who drank heavily at every stage of life. Those who consistently exceeded recommended drinking limits across each stage of adulthood had a 91% higher risk of colorectal cancer compared with lifelong light drinkers or those with gaps in heavy drinking.
“These numbers are not guarantees, but signals to do something before it’s too late,” May said. “Colorectal cancer is one of the few cancers we can actually prevent or catch early, but fewer than 70% of eligible people get screened.”
The study also looked at adenomas —polyps that can develop into cancer. While heavy drinking was not strongly linked to adenoma risk, those who quit drinking had significantly lower odds of developing nonadvanced adenomas compared to light drinkers.
“These are modifiable risks. The choices people make over time matter, and the body can respond when those risks are reduced,” Farma said.
The results align with a growing body of evidence linking alcohol, a well-recognized carcinogen, to colorectal cancer.
Colorectal screening is recommended for all adults starting at age 45 according to the United States Preventative Services Task Force. Screening tools include annual stool tests, CT scans every five years, or colonoscopies every 10 years.
“Everyone should be screened. It saves lives, and people are dying unnecessarily when they put it off,” May said.
Those who may be at higher risk may need to be screened at an early age or more often than typically recommended.
“If you’ve had prolonged heavy drinking and you develop symptoms like bleeding or persistent changes in bowel habits, you need to be evaluated — even in your 30s,” Farma said. “That’s how we catch this early and save lives.”
Tyler Beauchamp, MD, is a pediatric resident at UNC Children’s Hospital and a member of the ABC News Medical Unit.
