Skip to content
Search

Latest Stories

Follow Us:
Top Stories

Navigating US Healthcare Changes to ACA, Medicare, Medicaid, and More.

Join Dr. Don Berwick and learn what patients, families, and clinicians need to know about rising costs, coverage changes, and healthcare reform.

News

Navigating US Healthcare Changes to ACA, Medicare, Medicaid, and More.
black and gray stethoscope

The American healthcare system is often described as the most advanced in the world—yet for many people, it feels inaccessible, confusing, and broken. Costs are high, coverage is inconsistent, and patients often feel overwhelmed navigating insurance networks, medical bills, and treatment options. At the same time, the professionals who serve within this system—physicians, nurses, and frontline care workers—are burning out under the weight of rising demands, tightening budgets, and eroding public trust.

And now, a fresh wave of policy changes is adding new layers of complexity.


With major shifts underway in Affordable Care Act (ACA) subsidies, Medicaid and Medicare funding, and vaccine access policies, the next few years will bring real consequences for patients, families, and clinicians alike. Yet the public conversation often reduces these changes to partisan talking points or political theater, leaving individuals unsure of what they can actually do to protect their health, their finances, and their care options.

That’s why The Unity Forum is proud to host a special conversation on Tuesday, December 16th at 1:00 PM ET with one of the most respected and trusted leaders in American healthcare: Dr. Don Berwick.

You can register to attend the free webinar here: https://us06web.zoom.us/webinar/register/WN_a9FHFcBAQ9Cf9eXs6egeNg

Dr. Berwick is the founding president of the Institute for Healthcare Improvement (IHI) and the former Administrator of the Centers for Medicare & Medicaid Services (CMS). A pediatrician by training and a longtime champion of healthcare reform, Dr. Berwick has spent his career advancing ideas that prioritize patient safety, care quality, and dignity for all.

In this live, 45-minute conversation, we’ll talk with Dr. Berwick about the future of healthcare in the United States—and how each of us can navigate it more thoughtfully, effectively, and humanely.

What This Conversation Will Cover

This isn’t a policy roundtable or a campaign stump speech. It’s a conversation for real people—patients trying to afford their medications, parents navigating confusing care options for their families, and healthcare workers doing their best in a system that often fails to support them.

We’ll ask Dr. Berwick:

  • How can individuals and families prepare for changes in insurance coverage and out-of-pocket costs?
  • What should healthcare professionals know and do as financial pressures begin impacting patient outcomes more directly?
  • What public policies are worth fighting for to create a system that works better for everyone?

Dr. Berwick will share insights not only from his decades of leadership in national health policy but also from his experience as a physician and advocate. He understands both the system and the people in it.

We’ll also take audience questions, offering a rare opportunity to engage directly with one of healthcare’s leading thinkers.

Why This Matters Now

We’re entering a pivotal moment for the future of American healthcare. As political and economic pressures mount, the choices we make—or fail to make—will shape access, affordability, and quality for years to come.

Patients can’t afford to sit on the sidelines. Healthcare professionals need trusted guidance. And all of us, regardless of political affiliation, deserve a system that is navigable, humane, and sustainable.

This episode of The Unity Forum is designed to meet that need: to create space for clear-eyed, constructive dialogue at the intersection of policy, practice, and personal experience.

Join the Conversation

The Unity Forum is a cross-partisan webinar and podcast series powered by Alumni for Freedom & Democracy, created to foster open dialogue, civic engagement, and practical insight on issues that affect us all.

Register for the webinar at: https://us06web.zoom.us/webinar/register/WN_a9FHFcBAQ9Cf9eXs6egeNg
Date: Tuesday, December 16, 2025
Time: 1:00 PM ET
Location: Zoom (link provided upon registration)

The webinar recording will be distributed to those who register.

Let’s come together for a conversation that cuts through the noise—and focuses on what truly matters.

Chris Malone is the host of The Unity Forum. Malone is Founder of Fidelum Group and co-author of the award-winning book, “The HUMAN Brand: How We Relate to People, Products & Companies.”

Read More

A stethoscope, calculator, pills, and cash.

As ACA subsidies expire and Medicaid rolls shrink, millions could face higher premiums or lose coverage, reigniting a national healthcare debate.

Getty Images, athima tongloom

How Expiring Subsidies and Medicaid Cuts Could Reshape U.S. Access to Care

Current Issue

In the coming year, millions of Americans could see their health insurance premiums rise, or lose coverage entirely, as key federal supports for affordable care are set to expire. The American Rescue Plan Act of 2021 (ARPA) subsidies under the Affordable Care Act (ACA) marketplace, which were later extended by the Inflation Reduction Act, are scheduled to expire at the end of 2025. According to one analysis, if these enhanced subsidies expire, premiums on average could increase by 25-100 percent. At the same time, several states are reducing Medicaid rolls following the end of the pandemic-era continuous coverage requirement. Over 25 million people had been disenrolled from Medicaid and CHIP during this process in 2024. Together, these changes could redefine U.S. healthcare access, reigniting debates about public health and fiscal restraint.

Background

The ACA, passed in 2010, aimed to make health insurance more accessible for millions of uninsured Americans by expanding Medicaid eligibility and creating subsidized plans under the premium tax credit. The ARPA of 2021 significantly increased those marketplace subsidies, eliminating the 400% of poverty threshold for eligibility and reducing the percentage of income that enrollees must pay in premiums. As a result, the number of people eligible for marketplace subsidies increased from 18.1 million to 21.8 million from 2020-2021. Meanwhile, pandemic policies prevented states from disenrolling almost all Medicaid and CHIP enrollees for over three years. When this continuous coverage requirement ended in April of 2023, states began to reevaluate the eligibility of tens of millions of people. The expiration of ARPA temporary subsidies combined with the end of continuous Medicaid coverage set the stage for a contentious healthcare market next year.

Keep ReadingShow less
U.S. Healthcare in 2025: Chaos, Costs, and Controversy Without Real Progress
a person wearing a blue shirt with a white circle on it
Photo by Nappy on Unsplash

U.S. Healthcare in 2025: Chaos, Costs, and Controversy Without Real Progress

The year 2025 has been one of the most turbulent years in modern U.S. healthcare. The headlines were explosive, the rhetoric dramatic, and the controversies nonstop. Yet for all the hoopla and upheaval, the medical care Americans receive now, month in and month out, looks no better than what they experienced on January 1 — but far more expensive.

Here are five areas of healthcare that generated chaos, confusion, and conflict in 2025 without meaningful improvement.

Keep ReadingShow less
University Roundtable Puts Latino Mental Health Front and Center

woman holds "Hablo Espanol" button

Picture Provided

University Roundtable Puts Latino Mental Health Front and Center

“Keep it to yourself. Push it down. Don’t say anything.” That is how Isis Lara Fernandez was taught to live with her status as an undocumented immigrant in the United States.

At 6-years-old, Lara Fernandez fled to the U.S. with her mother and siblings to escape domestic violence in Honduras. From that point forward, Lara Fernandez navigated life with a persistent fear that her secret could be discovered at any point in time.

Keep ReadingShow less
The Health Care Debate & Feldstein’s Fix
black and gray stethoscope

The Health Care Debate & Feldstein’s Fix

Serving in Congress during the implementation of President Barack Obama’s Affordable Care Act, Republicans embraced the position of “repeal and replace.” Repeal the ACA, but replace it with what? The debate is front-and-center again, though the ground has shifted some. There is more support for the ACA. Even some Republicans are looking to temporarily extend COVID-era subsidies for ACA health plans. Other Republicans want Health Savings Accounts, so more money goes to individuals instead of insurance companies. Democratic leadership seeks an approach temporarily extending the expanded premium subsidies, during which the entire approach to health care can be rethought.

The late economist Martin Feldstein had the fix: Martin Feldstein proposed a voucher system in which everyone could purchase a health insurance plan covering health care expenses exceeding 15% of their income. This could be combined with HSAs if they prove popular with the public.

Keep ReadingShow less