1.3 million fewer people enrolled in the ACA marketplace this year compared to last yearAfter Donald Trump and Republicans refused to extend the enhanced Affordable Care Act premium tax credits at the end of last year, health care premiums skyrocketed by an average of 114% — resulting in monthly costs often higher than mortgages. As a result, many working families have been forced to purchase the cheapest monthly plans with the highest deductibles. Then, they allowed the ACA tax credits to expire, raising premiums and making health care unaffordable for millions of working Americans. Now, Americans are being forced to choose plans with higher deductibles or drop their insurance altogether. Trump’s own administration has even questioned whether Trump’s plan to send money directly to Americans for health care was “sustainable.” It’s no surprise that nearly 70% of Americans disapprove of Trump’s handling of health care.