The Future of the Affordable Care Act

The enhanced ACA premium tax credits have now expired. What does that mean for affordability, coverage levels, and the future of US healthcare reform? Lanhee Chen and Nancy-Ann DeParle discuss the policy tradeoffs ahead — and whether Washington can find common ground on what comes next.

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00:00 Introduction to Healthcare Policy Challenges
02:57 Understanding Enhanced Premium Tax Credits (E.P.T.Cs)
05:46 Impact of E.P.T.Cs Expiration on Coverage
09:06 Data and Trust in Healthcare Estimates
12:02 Future of Healthcare Policy Landscape
14:49 Affordability and Consumer Choice in Healthcare
17:55 Balancing Government and Patient Responsibilities
20:53 The Role of Transparency in Healthcare
23:50 Defining Problems in Healthcare Reform
26:56 Conclusion and Future Directions

This podcast is part of the Tennenbaum Program for Fact-Based Policy program. For more information, visit: https://www.hoover.org/research-teams/tennenbaum-program-fact-based-policy?utm_source=youtube&utm_medium=description&utm_campaign=ffp_youtube&utm_content=03042026

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The opinions expressed are those of the authors and do not necessarily reflect the opinions of the Hoover Institution or Stanford University.

© 2026 by the Board of Trustees of Leland Stanford Junior University.

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