Rising deductibles paired with the rising cost of medications for chronic conditions has left middle-income Americans saddled with debt and skipping out on their treatment, the L.A. Times reports.

Why it matters: Care for conditions like cancer, diabetes and epilepsy— which require regular treatment, including drugs— are costing the insured thousands of dollars a year, a major shift from when deductibles were lower or nonexistent.

  • "That has made being sick in the U.S. dramatically more expensive," the Time's Noam Levey writes.

For example: One recent study found that in 2016, people taking multiple sclerosis drugs paid, on average, $3,708 in out-of-pocket costs for the drugs each year. The cost for patients with high deductible plans was, on average, almost $8,000 a year.

  • But 15 years ago, the average out-of-pocket cost for these drugs was $244.

The bottom line: When patients ration their own care to try to save money, it puts their health — and even their lives — at risk.

Go deeper: How chronic conditions drive up health spending

Go deeper

Amy Coney Barrett's immediate impact

Illustration: Eniola Odetunde/Axios

In her first week on the job, Amy Coney Barrett may be deciding which votes to count in the presidential election. By her third week, she’ll be deciding the fate of the Affordable Care Act.

Where it stands: The Senate votes on Barrett’s nomination tomorrow. If she’s confirmed, Chief Justice John Roberts is expected to swear her in at the Supreme Court within hours, an administration official tells Axios.

Texas Democrats beg Biden to spend now

Photo: Ron Jenkins/Getty Images

The Biden campaign is rebuffing persistent pleas from Texas Democrats to spend at least $10 million in the Lone Star state, several people familiar with the talks tell Axios.

Why it matters: If Texas — which has 38 electoral votes and is steadily getting more blue, but hasn't backed a Democrat for president since 1976 — flipped to the Biden column, it would be game over. But the RealClearPolitics polling average stubbornly hovers at +2.6 for Trump — and Team Biden appears more focused on closer targets.

Election night in Trumpworld

Photo illustration: Aïda Amer/Axios. Photo: Chris Carlson-Pool/Getty Images

A luxe election-night watch party at the Trump International Hotel on Pennsylvania Avenue is being planned for President Trump's donors, friends and advisers — but Trump's hand in it is minimal because he's "very superstitious" — people familiar with the plans tell Axios.

The big picture: This "mecca for all things MAGA," as one adviser described it, is one of three hubs where they say Trumpworld will watch returns. The others are the war room at campaign HQ in Rosslyn, Virginia, and the White House residence, where Trump and the first lady will gather close family and advisers before heading to the hotel later that night, the sources said.

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