The Republicans in Congress must vote to keep the Affordable Care Act (ACA) subsidies and reopen the government.

Before the Affordable Care Act, insurers denied health insurance to people with pre-existing conditions, or if their medical costs exceeded their lifetime caps. Families went bankrupt with health care emergencies. The ACA changed that. It also promotes preventive care, reduces medical debt, and contributes to a healthier population overall. ACA subsidies help reduce the cost of health insurance premiums for individuals and families. Without the subsidies, health insurance costs will spike for Americans. Many will find they can no longer afford health insurance.

I remember working in a free clinic before the ACA. Many middle-aged, hard-working Americans couldn’t afford basic he

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