The federal government has officially shut down, after the GOP-controlled Congress failed to pass a funding bill by midnight.

And it's all because Republicans are refusing to negotiate with Democrats on extending Medicaid subsidies to keep millions of Americans from being kicked off their health care.

Expanded Medicaid subsidies Democrats passed back in 2021 will expire at the end of the year if Congress doesn't act.

The nonpartisan Congressional Budget Office says that will lead 4 million people to automatically lose their insurance coverage.

But more than that, it will make premiums skyrocket for those remaining on Affordable Care Act marketplaces, as the people who would lose coverage are on average younger and healthier. That leaves an older pool of individuals who are costlier to

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