How the government shutdown is hitting the health care system – and what the battle over ACA subsidies means

Major rifts over key health care issues^[1] are at the heart of the federal government shutdown that began at the stroke of midnight on Oct. 1, 2025^[2].

This is not the first time political arguments over health care policy have instigated a government shutdown. In 2013, for example, the government shut down due to disputes over the Affordable Care Act^[3].

This time around, the ACA continues to play a central role, with...

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