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Photo: Gabe Souza/Portland Press Herald via Getty Images

People who don’t receive the ACA’s premium subsidies are fleeing the individual insurance market, leaving it smaller and more concentrated, according to the latest data from the Kaiser Family Foundation.

The big picture, from Kaiser: "The availability of premium subsidies … is likely sufficient to keep the individual insurance market financially sustainable ... However, based on the current trajectory, the market is likely to be increasingly dominated by lower-income people and those with pre-existing conditions."

By the numbers: Total enrollment in the individual market fell by about 12%, or 2 million people, from the first quarter of 2017 to the first quarter of 2018.

  • All of that decline came from people who are either outside the ACA’s exchanges or who used the exchanges but aren’t eligible for subsidies.
  • Subsidized enrollment grew by about 500,000 people.

This shouldn’t be a big surprise. As premiums have risen — in large part because of the actions of the Trump administration and congressional Republicans — the burden has mostly fallen on unsubsidized people who have to pay the whole cost on their own.

Go deeper

28 mins ago - Politics & Policy

Vaccinations, relief timing dominate Sweet 16 call

Sen. Joe Manchin (D-W.V.) speaks during a news conference in December with a group of bipartisan lawmakers. Photo: Caroline Brehman/CQ-Roll Call, Inc via Getty Images

Vaccine distribution, pandemic data and a cross-party comity dominated today's virtual meeting between White House officials and a bipartisan group of 16 senators, Senator Angus King told Axios.

Why it matters: Given Democrats' razor-thin majority in both chambers of Congress, President Biden will have to rely heavily on this group of centrist lawmakers — dubbed the "Sweet 16" — to pass any substantial legislation.

Progressives pressure Schumer to end filibuster

Senate Majority Leader Chuck Schumer. Photo: Win McNamee / Getty Images

A progressive coalition is pressuring Chuck Schumer on his home turf by running a digital billboard in Times Square urging the new majority leader to end the Senate filibuster.

Why it matters: Schumer is up for re-election in 2o22 and could face a challenger, and he's also spearheading his party's broader effort to hold onto its narrow congressional majorities.

5 hours ago - Health

U.S. surpasses 25 million COVID cases

A mass COVID-19 vaccination site at Dodger Stadium on Jan. 22 in Los Angeles, California. Photo: Mario Tama/Getty Images

The U.S has confirmed more than 25 million coronavirus cases, per Johns Hopkins data updated on Sunday.

The big picture: President Biden has said he expects the country's death toll to exceed 500,000 people by next month, as the rate of deaths due to the virus continues to escalate.

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