Margot Sanger-Katz

They keep acting like the subsidies are going to go away.

And I think that has caused some alarm among some people that all of the subsidies are going away, that people are going to all have to pay the full cost of their health insurance.

And that's not true.

What we're reverting back to is the original structure of Obamacare that Democrats thought really carefully about and wrote and passed in 2010.

So we do know that way more people bought insurance with this extra financial help.

It definitely does make a difference in people's lives, and it does make a big difference in people's coverage.

But there is a real debate about what level of subsidization is appropriate in these markets and whether and how much people should be asked to pay for their health insurance.

Because in part, over the same period of time in which we've been paying all this extra money to help people buy insurance, the cost of insurance itself has gotten a lot more expensive.

And why is it that health insurance has gotten so expensive over the last few years?

So people love to rag on health insurance companies and no one really likes them.

They don't like how expensive they are.

There are lots of other things they don't like about them.

But the reason why health insurance is so expensive is because health care in the United States is really expensive and the costs are growing over time.

And there are a bunch of reasons for that.

Recently, of course, we've had these GLP-1 anti-obesity medications, super transformative drugs.

They really could help a lot of people improve their health, but they're costly and lots of people want to take them.

And that's an example of a much broader trend in the U.S.

healthcare system, which is that we love to use new technology.

When there are new drugs or treatments on the cutting edge that really seem to make a difference in public health, we want to use them, even though they're going to cost a lot of money.

I think it's just really hard to say.