Insurance premiums through the Affordable Care Act marketplace are expected to skyrocket next year, with plans rising by a median of 15% across 105 insurers, according to an analysis from the health policy outlet KFF.

The expected price increases—the largest since 2018, when... Donald Trump was first in office—can be directly linked to the actions of Trump and congressional Republicans.

Much of the expected increase stems from the fact that Republicans are about to let premium tax credits expire. Those credits were passed in 2021 by congressional Democrats and signed into law by... President Joe Biden. The credits helped 22 million people afford insurance plans in ACA marketplaces.

Once those tax credits expire at the end of this year, people will see a 75% increase in premiums they'd be responsible for, according to KFF. Healthier people who feel they don’t need insurance are expected to then drop their coverage rather than pay astronomically more for it. And that smaller, sicker pool of enrollees would be more expensive for insurance companies to cover, leading to spikes in premium prices