David Machledt
machledtdc.bsky.social
David Machledt
@machledtdc.bsky.social
Give me a bike, time to adventure, and family and friends to share it with. Also, a lot of health policy, but the views here are my own.
Reposted by David Machledt
At $65K/year, a 60 year old enrollee wlll go from paying around $460/month in most cases (just 8.5% of their gross income) to anywhere from $868/month at the *low* end in #NY17... to as much as a jaw-dropping $2,177/month in #AKAL.

That's an ADDITIONAL $4,900 - $19,000 per year in premiums alone.
December 5, 2025 at 4:48 PM
Maddie is right — this is a really important affordability protection at relatively modest incomes. See this KFF resource for details: www.kff.org/affordable-c...
Premium Payments if Enhanced Premium Tax Credits Expire | KFF
This data note examines how the expiration of the ACA's enhanced premium tax credits could affect the out-of-pocket portion of premiums for different households.
www.kff.org
December 3, 2025 at 5:57 PM
For people over 400% FPL, premiums are capped at 8.5% of income under current policy. So someone making over $400,000 could only get subsidies if their monthly premium exceeds $2833, and only for the amount above that threshold. For someone at $62,600, monthly premium goes from $443 to full cost.
December 3, 2025 at 5:56 PM
Haha! As if you can really price shop when it’s so hard to know ahead how much a service will actually cost! Haven’t studies also found that savings generated from HDHP plans also dissipated in the out years?
November 10, 2025 at 10:55 PM