由于《平价医疗法案》（ACA）联邦增强补贴到期，佛罗里达州约有44.3万名居民放弃了医保计划，成为全美受此影响最严重的州 1。该州目前的ACA参保人数略高于380万，约占全美总参保人数的五分之一 1。在离开市场的约44.3万人中，大多数人可能处于无保险状态 1。保费的飙升迫使许多居民失去保障或降级计划，例如21岁的厨师Elijah Button因每月保费上涨100美元而在1月放弃了ACA计划 1。51岁的心理咨询师Tracy Rand的ACA计划月费从55美元飙升至1,100美元，最终只能降级为月费160美元的计划 1。54岁的Tarsha Watson则因每月600美元的ACA报价无法负担而面临困境 1。
随着失去保障的人数增加，佛罗里达州全州的110家免费或慈善诊所难以满足激增的需求 1。以Grace Medical Home为例，该诊所去年治疗了约1,350人，并且每年接收约350名新患者 1。在政治层面，医疗成本问题已成为中期选举的重要竞选议题，两党正围绕补贴恢复与控费政策展开博弈 1。此前，国会曾就补贴到期问题进行辩论，并导致了创纪录的43天政府停摆 1。此外，民主党众议员Darren Soto的选区ACA参保人数位居全美第二 1。
Florida has been severely impacted by the expiration of federal enhanced subsidies under the Affordable Care Act, leading approximately 440,000 residents to drop their Affordable Care Act plans this year 1. The state's Affordable Care Act enrollment slightly exceeds 3.8 million, accounting for about one-fifth of the total national enrollment 1. Among the approximately 443,000 Floridians who have left the market, the majority are likely left without insurance 1. Healthcare costs have emerged as a critical issue in the midterm elections, with both parties debating the restoration of subsidies and cost-control policies 1. Debates in Congress over the expiration of these subsidies previously led to a record 43-day government shutdown 1.
The expiration of subsidies has forced many residents to abandon their coverage or downgrade their plans due to soaring premiums 1. Elijah Button, a 21-year-old chef, dropped his Affordable Care Act plan in January after his monthly premiums increased by $100 1. Similarly, 51-year-old counselor Tracy Rand saw her monthly Affordable Care Act costs surge from $55 to $1,100 before downgrading to a $160-a-month plan 1. Meanwhile, 54-year-old Tarsha Watson was quoted $600 per month for Affordable Care Act coverage, which she could not afford 1.
As more people lose coverage, free and charity clinics are struggling to meet the surging demand 1. Florida is home to 110 such clinics, including Grace Medical Home, which treated about 1,350 people last year and takes in approximately 350 new patients annually 1. The political impact is also significant, as the congressional district of Democratic Representative Darren Soto holds the second-highest Affordable Care Act enrollment in the nation 1.
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