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1A

How Health Insurance Got So Expensive

1A

NPR

News

4.44.3K Ratings

🗓️ 6 November 2025

⏱️ 37 minutes

🧾️ Download transcript

Summary

It’s open enrollment season. And for the 20 million Americans who buy their own health insurance, prices are through the roof.

Rates are up an average of 30 percent for a typical plan in the 30 states where the federal government manages markets. In states that run their own markets, rates are up an average of 17 percent. That’s according to an analysis from the health policy research group KFF.

Meanwhile, the longest government shutdown continues in Washington. Lawmakers still can’t agree over whether to extend subsidies that would make health insurance more affordable. Without those subsidies, experts estimate that more than 4 million people could lose access to insurance.

How did health insurance get so expensive in the first place? And who stands to benefit from higher costs?

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Transcript

Click on a timestamp to play from that location

0:00.0

Support for NPR and the following message comes from the Robert Wood Johnson Foundation.

0:05.4

RWJF is a national philanthropy working toward a future where health is no longer a privilege but a right.

0:12.1

Learn more at RWJF.org.

0:29.3

It's open en season for the 20 million Americans who buy their own health insurance prices this year.

0:31.5

They're through the roof.

0:33.1

That's putting it mildly.

0:36.6

You've been telling us how your rates are changing.

0:40.0

Hi, my name is Barb, and I'm from Bellevue, Minnesota.

0:48.8

And for health care premiums for 2026, the same plan, which I'm paying 474 a month for this year,

0:59.5

is going to be $747 a month for 2026. I ended up going with the cheaper plan. The cheapest available to me was $590 a month for an $8,500 deductible. Yeah, like we said before, grab a chair. Rates are up an average

1:09.8

of 30% for a typical plan in the 30 states where the federal

1:13.6

government manages health insurance marketplaces. In states that run their own markets,

1:18.3

rates are up an average of 17%. That's according to an analysis from the health policy research

1:24.4

group, KFF. Meanwhile, the longest government shut down in history

1:28.3

continues in Washington. Republicans so far won't discuss extending subsidies that make health

1:34.2

insurance more affordable. Democrats won't agree to a deal unless health care costs are on the

1:41.1

table. So that's where we're at. Without those subsidies, the Congressional Budget

1:45.1

Office estimates that more than 2 million people could lose access to health insurance entirely.

1:51.6

How did health insurance get so expensive in the first place? And who stands to benefit from

1:57.5

higher costs now? We've got those questions and so much more. After the break,

2:02.8

I'm Todd's Willick in for Jen White. You're listening to the 1A podcast. Back with more in just a moment.

2:13.0

Support for NPR and the following message comes from the Robert Wood Johnson Foundation.

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