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Marketplace All-in-One

Rising ACA premiums, falling enrollment: It's a vicious cycle

Marketplace All-in-One

Marketplace

Business, News

4.51.4K Ratings

🗓️ 20 May 2026

⏱️ 26 minutes

🧾️ Download transcript

Summary

Affordable Care Act premiums are higher this year, after Congress declined to renew subsidies for the health insurance program. As a result, about a million fewer Americans enrolled for 2026 and even more are slated to drop by the year’s end. In this episode, why falling enrollment will raise premiums further. Plus: Bond yields hit record highs around the globe, businesses start to see tariff refunds ahead of schedule, and utility rates are about to get worse.


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Transcript

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0:00.0

A bond story was promised. A bond story there shall be. We'll do energy as well, and sure, tariffs. Why not? From American public media, this is Marketplace. In Los Angeles, I'm Colin Rizzdahl.

0:28.4

It is Wednesday, today the 20th of May.

0:31.7

Good as it always is, to have you along, everybody.

0:34.5

If you have, like most normal people in this economy, not been paying a whole lot of

0:39.8

attention to the bond market, I get it, totally. But give me a couple of minutes here to bring

0:45.5

you up to speed. The yield on the 30-year U.S. Treasury bond yields, of course, the interest the

0:50.5

government has to pay, hit almost 5.2% this week as high as the long bond

0:56.0

has been since 2007. That is news in and of itself, but if you pull back a little bit,

1:02.5

you will see the United States is not alone. Bond yields in Germany, in the UK, and in Japan

1:08.4

are at multi-year highs as the war and the ensuing energy shock and

1:13.0

inflation continue to ripple through the global economy. There is a lot going on here. So we've called

1:19.4

Nicole Serby. She's an economist at Wells Fargo. Nicole, thanks for coming on. Good to have you

1:23.7

back. Thanks for having me. This is not a solely American phenomenon.

1:28.0

I talked about the 30-year up in the introduction, but things are happening globally.

1:32.7

And I want to start with what happens when rates go up like this yields like on the whole planet.

1:41.5

Yeah.

1:41.9

So if you're an investor looking for yield, that's a great thing. But if you are a government

1:47.8

trying to issue debt, not so great of a thing. Yeah, say more. I mean, money is more expensive,

1:53.9

basically, right? Yes. And so when we were talking about sovereign bond yields, what we're

2:00.1

essentially talking about is the cost of borrowing.

2:02.6

And so with the cost of borrowing going up across the globe, if you're issuing debt, it's just going to be more and more expensive to do that.

2:10.2

And this comes at a time where no matter what advanced economy you're looking at, the fiscal outlook is daunting because of a variety of factors. And if I

...

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