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etna one of America's largest health
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insurers is pulling out of the
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Affordable Care Act marketplace in
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2024 this move could have far-reaching
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consequences for millions of Americans
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and the future of healthcare in the
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United States etna's decision to
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withdraw from the federal health
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insurance exchange is more than just a
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corporate strategy it highlights growing
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concerns about the stability of the ACA
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model and its ability to provide
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affordable health care for all Americans
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the core issue lies in the delicate
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balance required to make the ACA work
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effectively picture a seessaw on one
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side are older sicker enrolles who
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frequently need expensive medical care
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on the other side are younger healthier
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individuals who pay into the system but
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use fewer services the high
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participation of this latter group is
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crucial for keeping premium costs
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manageable for everyone however this
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balance is under threat as premiums
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increase younger healthier people are
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more likely to opt out of coverage they
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might see themselves as less likely to
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need immediate medical care and choose
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to go uninsured or turn to cheaper
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nonaca compliant plans this creates a
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vicious cycle with fewer healthy
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individuals in the risk pool insurers
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must raise premiums to cover the costs
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of their remaining high-risisk
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enroles higher premiums in turn
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discourage even more healthy individuals
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from signing up pushing costs even
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higher for those left behind consider
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Emma a 29-year-old marketing
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professional who has had an ACA
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marketplace plan since graduating
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college she's starting to question the
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value of her coverage saying "I'm
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healthy i barely go to the doctor."
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these premiums it's getting harder to
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justify multiply Emma's dilemma by
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thousands or even millions of young
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people and you can see why insurers like
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Etna view this market as financially
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risky for those still enrolled in ACA
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plans Etna's exit could mean fewer
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choices and potentially higher premiums
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the disappearance of a major player like
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Etna shifts the competitive balance and
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in the insurance market less competition
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often leads to higher prices looking
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ahead the future of the ACA remains
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uncertain if enhanced federal subsidies
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are extended beyond 2025 they could help
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stabilize the market and keep premiums
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affordable for younger
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enroles however if Congress allows these
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subsidies to lapse it could throw the
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entire model into disarray discouraging
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insurers from participating and leaving
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consumers with fewer affordable options
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the stakes are uniquely high and Etna's
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exit serves as both a wake-up call and a
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cautionary tale the future of American
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healthcare now hinges on two key groups
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policymakers in Washington debating
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budgets and policy and young Americans
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in their 20s and 30s deciding whether to
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maintain their health insurance coverage
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while individuals like Emma might not
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think their decisions matter much in
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reality their choices could shape the
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future of American healthcare as we know
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it the balance of the ACA Seesaw depends
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on their participation making their
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enrollment decisions crucial for the
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stability and affordability of
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Americans thanks for watching what are
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your thoughts on the potential changes
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to the ACA drop a comment below and
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let's discuss don't forget to hit that
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