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flag ACA subsidies uncertainty may push some to drop insurance; alternatives include cash-pay care and cost-saving accounts.

flag As ACA subsidies face uncertainty in 2026, some Americans may drop health insurance due to rising costs. flag Alternatives include direct primary care, concierge medicine, medical cost-sharing plans, and saving premiums in dedicated accounts. flag Cash-pay options like urgent care, retail clinics, and community health centers offer affordable care, while tax-advantaged accounts (HRAs, FSAs) and charity care may help cover costs. flag Patients can dispute bills exceeding good faith estimates by $400 or more.

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