As the issue of healthcare affordability intensifies in America, stories of individuals like 52-year-old Dinam Bigny resonate deeply across various communities, including Native populations. Bigny, a program manager from Aldie, Virginia, now faces the prospect of escalating health insurance premiums—expected to rise from nearly $900 to over $1,100 per month, dangerously straining his finances.
Increased costs are a common concern among those enrolled in the Affordable Care Act (ACA) marketplace health insurance plans. A recent survey by the Kaiser Family Foundation (KFF) reveals that many enrollees worry about the expiration of COVID-era tax credits. These credits have made health insurance more affordable, benefiting more than 90% of ACA users, including many Indigenous individuals and families.
“These are often going to be people who are living paycheck to paycheck,” said Cynthia Cox, a KFF vice president, illuminating the financial precariousness that is particularly pronounced in Indigenous communities already vulnerable to economic hardships.
Among those surveyed, a significant percentage indicated they could not bear an additional $300 per year in health insurance costs, revealing the reality of living under constant financial pressure. The potential expiration of enhanced premium tax credits could more than double monthly payments for the average subsidized enrollee, exposing many to financial hardship.
Support transcends political boundaries on the issue of health affordability. Across party lines, individuals express overwhelming support for the continuation of these essential tax credits. This highlights a rare moment of unity amidst broader divisive issues as many invoke the pressing need for legislative action to protect the most vulnerable populations from rising healthcare costs.
The call for compromise in Congress is echoed by Bigny, who represents many who are hoping for a legislative solution. “They should just sit and really look for what’s best for American people overall,” he remarked, resonating with the sentiments of families facing similar uncertainties across the nation.
The complexities around healthcare affordability continue to challenge many, particularly those in marginalized communities, underscoring the urgent need for policymakers to address these growing economic disparities.




















