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When Stability Breaks: A Caregiver’s Warning About America’s Healthcare Crisis

  • Writer: Mark Fukae
    Mark Fukae
  • Dec 20
  • 2 min read

Caregivers are the first to feel the collapse of affordability. This is what instability looks like.
Caregivers are the first to feel the collapse of affordability. This is what instability looks like.

By Mark Fukae - Director of Advocacy - Professionals Who Care


In his latest Substack essay, Our Lives On Hold: When Stability Breaks, caregiver advocate Mark Fukae delivers a searing account of what happens when caregiving collides with a broken insurance system.


From his mother’s recent CT scan to his wife’s mother’s slow recovery from bronchitis, Mark paints a vivid picture of caregiving under pressure. But the real crisis? His employer is dropping coverage next July because premiums will triple - a direct result of Congress failing to extend ACA subsidies.

“What I’m losing is not healthcare. I’m losing insurance.”

Mark’s piece is more than personal. It’s policy-driven, data-backed, and urgent. He cites verified numbers:

  • 22 million Americans will be affected

  • 114% average premium increases

  • $500-$1,000 monthly spikes for many families


And he calls out the political theater of one-time HSA deposits - gestures that do nothing to fix the structural instability caregivers face.


We urge you to read and share his full piece:


👉 Read and Listen to the full Substack post


Then take action:


✅ Sign and share the petition (736 have done so): The CARE Act: A Smart Investment for Working Caregivers in America & Colorado   https://c.org/DLWncS9wtT


Together, we can push for affordability, portability, and prevention-first care.


📚 References & Citations

  • USA TODAY: “Health insurance premiums to rise as Obamacare deal remains elusive.”

  • USA TODAY: “Obamacare bills are about to spike. What to know for 2026.”

  • KFF: “ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire.”

  • CNBC: “ACA premiums to more than double without enhanced subsidies: KFF.”

  • Insurify: “22 Million ACA Enrollees Face 114% Average Premium Increase.”

  • Factually: “Will enhanced ACA subsidies expire or change in 2026?”

 
 
 

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