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ACA Subsidies Expiring? How to Find Affordable Healthcare Without Insurance Uncertainty

  • lisa3135
  • Dec 24, 2025
  • 1 min read

Many Americans are increasingly concerned about what happens when Affordable Care Act (ACA) subsidies and tax credits expire. The message most people hear is simple—and alarming: insurance premiums will rise, and healthcare will become even more expensive.

According to Dr. Demetrio Aguila, this fear is understandable—but not inevitable.

Why ACA Subsidy Expiration Matters

ACA subsidies have helped offset insurance premiums for millions of families. When these tax credits expire or change, many people experience sudden increases in monthly costs with no improvement in care, access, or outcomes.

A Smarter Alternative: Direct Primary Care + Health Sharing

Dr. Aguila explains that healthcare doesn’t have to revolve around insurance at all.

By combining:

  • Direct Primary Care (DPC) — a monthly subscription to a physician

  • Health Sharing Programs — community-based alternatives to insurance

Families can gain predictable pricing, better access to doctors, and significantly more transparency.

With DPC, patients can visit their doctor as often as needed without surprise bills. Health sharing programs help cover larger medical expenses—without the volatility of insurance premiums tied to government subsidies.

Better Care at Lower Cost

When healthcare providers aren’t constrained by insurance rules:

  • Appointments are longer

  • Outcomes improve

  • Costs drop

  • Patients become informed consumers

As Dr. Aguila notes, providers who operate outside traditional insurance models often deliver better results at a fraction of the cost.

Affordable Healthcare Without Uncertainty

Regardless of what happens to ACA subsidies or tax credits, these alternative models remain stable. Prices don’t suddenly change on January 1st—and patients aren’t left guessing.

Affordable, transparent healthcare is possible—without insurance complexity.

📍 Total Pain Solutions – Nebraska🌐 Learn more at fmm.org📧 Contact us for trusted resources and guidance

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How can the Dr. Aguila team help you?

Demetrio J. Aguila III, MD, FACS is a diplomate of the American Board of Plastic Surgery, as well as the American Board of Otolaryngology. 
Our team at Total Pain Solutions can help patients suffering from unexplained nerve pain or other chronic pain. We urge everyone to not ignore symptoms when solutions may be possible. Take the first step to feeling better, come and see us about solutions for chronic pain, allergies, and reconstructive surgery.

Call us at 1-402-370-9515 or fill out the form on this page to set up a consultation to determine your best options.

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