Amid ongoing political tensions, Congress has failed to reach a consensus on extending Affordable Care Act (ACA) subsidies, triggering significant premium increases for many Americans. Reports indicate dramatic spikes in health insurance costs, with one New York woman experiencing a $10,000 increase and a single mother facing a jump from $3 to $164 in premiums, causing her to skip necessary medications. With over 20 million Americans impacted, fears of financial instability due to rising healthcare costs are growing, particularly among working-class Black families in major metropolitan areas. Critics argue that the failure to extend these subsidies constitutes an attack on vulnerable populations. Experts warn that without intervention, many will be forced to make difficult choices regarding their health care.