Detroit — The CEOs of two of Michigan's leading health care systems expressed concern Wednesday about how the future of Affordable Care Act subsidies — a key sticking point between Democrats and Republicans amid a federal government shutdown — could affect patient care here.

At a health care innovation forum held by the Detroit Economic Club, Corewell health President and CEO Tina Freese Decker told The Detroit News she was hopeful that enhanced set to expire at year's end would be extended as part of an agreement in Congress to pass a continuing resolution and reopen the government. Democrats are demanding the extension as part of the price for the votes needed to approve a spending bill in the Senate, while Republicans are opposed, triggering the shutdown that began Wednesday.

"We're

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