COLUSA, Calif. Early on, Jean Franklin got some career advice she followed religiously: Pay yourself first. So she did, socking away hundreds of thousands of dollars in retirement savings by the time she became a stay-at-home mom at age 41.
She and her husband, Charles, a former high school teacher who goes by Chaz, planned to retire comfortably in the three-bedroom house where they raised their kids about 60 miles northwest of Sacramento.
But early last year, the 63-year-old became unsteady on her feet. One morning in May, she woke up with slurred speech and landed in the hospital, then rapidly lost the ability to move the right side of her body.
In August, as doctors continued to puzzle over a possible diagnosis, the couple received a notice saying that on Jan. 1 their combined health care premium payments through the would shoot up from $540 a month to $3,899 a month. The reason: Federal enhanced premium subsidies expiring at the end of last year would no longer offset their payment.
They immediately canceled a monthlong cruise theyd been planning with friends and looked through their retirement accounts.
Now, instead of thinking about where we can go in our retirement, were asking the question, Are we still going to be able to stay where we are because of the health care costs? said Chaz, who retired in 2021 at age 59.
Then they received more bad news. In October, at the age of 63, Jean was diagnosed with ALS, a debilitating disease that will eventually leave her unable to speak, swallow, or . But Jeans condition allowed her to enroll in Medicare, the federal health insurance program that covers adults 65 and older and people with disabilities. The diagnosis saved them roughly $1,600 a month in premiums little comfort as Jean lost her ability to walk, bathe, and dress herself.
Its kind of morbid that, because of my diagnosis, I got put on Medicare right away, so at least we dont have to pay that out-of-pocket, Jean said, sitting in a wheelchair in her living room, a quilt draped over her legs to guard against the intense chills she now often gets. Were not going to get buried under this.
Yet the premiums for Chazs plan and her Medicare remain a significant strain on their finances. The $2,300 a month they now owe, which includes roughly $342 in premium payments for Jeans Medicare supplemental insurance, is higher than their monthly mortgage and eats up more than a quarter of their budget.
The Franklins are among the across the nation facing after Congress chose not to extend 2021 enhanced federal subsidies. That assistance helped more than double enrollment in Obamacare plans to over 24 million.
The Congressional Budget Office estimated in 2024 that, without an extension of the tax credits, the number of uninsured Americans would climb by 2.2 million this year alone. , nationwide enrollment in ACA plans was down about 1.2 million year over year, though experts say it before the full effects of rising premiums are known, as people miss payments and lose coverage.
The groups hit hardest will be , , and people living in high-cost states, said , a senior research fellow at the Center on Health Insurance Reforms at Georgetown University. The Franklins are all three.
They fell off what we call a subsidy cliff, Pogue said. It's very, very shocking, the amount that a person would have to absorb.
Thats because the expanded tax credits made the biggest difference for people nearing retirement age who sat just above thresholds, Pogue said. People such as the Franklins, who likely wouldnt have qualified for financial help before expanded credits were implemented, are now losing that support at a time when insurers have responded to the uncertainty by dramatically raising rates.
Roughly half of people who were expected to lose eligibility for premium tax credits were ages 50 to 64, according to an , a health information nonprofit that includes 窪蹋勛圖厙 News.
Republicans who opposed the extension have said the premium assistance went directly to insurance companies rather than consumers, incentivizing fraud and wasteful coverage. They also say the enhanced subsidies, which had no upper income limit for eligibility, were far too generous in capping premium payments at 8.5% of income, no matter how much an enrollee made.
Most Americans would agree that taxpayers should not be subsidizing the health insurance of someone making $250,000, U.S. Rep. , a California Republican who an extension in January, wrote in an . I cannot accept the simple extension of a program that will line the pockets of insurers and is riddled with fraud at the expense of the American taxpayer.
Patient advocates say the premium increases and expiration of subsidies have forced people into difficult choices. The young people who are healthy are the first to say, I'm going to roll the dice" and forgo coverage, said , executive vice president of policy and programs at the National Patient Advocate Foundation. Those who are remaining in the system because they have no choice are holding off care, theyre holding off their meds, theyre going without necessary food.
While the Franklins are getting by, they have relied on their sons to pay for a motorized recliner to assist with lifting Jean and a handicap van to transport her. Chaz, who broke a tooth a year ago, delayed fixing it because a crown would cost him $1,000.
This year, the couple will draw $36,000 more than they had anticipated from their retirement savings, most of it to cover Chazs insurance premiums.
I have a nest egg, Chaz said. But theres a lot of people around here who dont.
For a while, he was outraged.
I wish Congress would get off their butts and solve this issue, said Chaz, who is a registered Republican but blames both sides of the aisle. Youre so busy bickering over stupid crap and its both parties pointing fingers and blaming. Where was this discussion two years ago?
Now, Chaz said, hes focused on making Jean, his wife of 27 years, as comfortable as possible.
Before she got sick, they did practically everything together hiking, traveling, tai chi, amateur photography, and bug-hunting. One of her favorite specimens was the rain beetle, a fuzzy scarab-like insect that cant feed as an adult, relying solely on fat stores from its larval stages.
In the mornings, Chaz and their sons, Charlie and Louis, take turns lifting Jean, dressing her, and helping her use the bathroom. Itll be fodder for the counselor, she jokes to her sons, when they inevitably need therapy later in life.
Most days, Jeans outdoor adventures rarely extend beyond being wheeled to her back patio, where she loves to watch their backyard chickens bobble around. Chazs stubbornness makes him a great patient advocate. Charlie always seems to know exactly when she needs a big hug, and Louis tells jokes that can still make her snort with laughter.
I dont know what I would do without my boys making me laugh, she said.
In December, Chaz will turn 65, old enough to qualify for Medicare himself. After this year knock on wood we should be OK, Jean said, before pausing and shooting her husband a wry smile.
Well, youre gonna be OK.
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