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Rising Premiums Push Idaho Doctors and Nurses to Abandon Health Coverage

An Idaho physician couple and a Boise nurse say soaring ACA marketplace premiums forced them to drop coverage and rely on savings.

When Joshua and Ashley Durham launched their Boise family-medicine clinic in late 2023, they purchased ACA marketplace coverage for themselves and two children, but this year’s premiums rose to almost $1,600 a month, prompting them to rely on a $50,000 health-savings account and drop insurance. Their situation is echoed by nurse practitioner Samantha LeGault, whose employer-provided plan surged from $700 to $1,500 monthly, forcing her to cut dental coverage and tighten household budgets.

Nationwide data show 7% of healthcare workers lacked insurance in 2024, up from lower historic levels, while only 2% of physicians are uninsured. The Republican-led Congress’s decision not to renew pandemic-era ACA credits and forecasts of an 8.2% premium increase for 2027 exacerbate affordability challenges, especially for small-business practices represented by the Association for Independent Medicine. Bioethicist Arthur Caplan suggests the growing reliance on self-treatment may require revisiting medical ethics codes. As premiums climb, some employers may shift toward higher wages or minimal plans, risking a further rise in the uninsured rate.

Why it matters

Escalating insurance costs threaten both providers and patients, potentially widening gaps in U.S. healthcare access.

In this story

health insurance premiumshealthcare workers uninsuredACA marketplace subsidiessmall medical practicesrising costsinsurance affordabilitypremium hikesself-treatment ethics
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