Monday, December 15, 2025



The Coming Health Insurance Crisis — And Why Planning Ahead Matters
Rising health insurance costs aren’t new, but what’s happening now is different. Subsidies are shrinking or disappearing, premiums are jumping, and many families—especially those dealing with serious medical conditions—are facing impossible choices. You can’t control Congress or the insurance companies, but you can control how prepared your family is when the system gets shaky.

This article isn’t about politics. It’s about recognizing what’s coming and making sure your legal planning keeps your finances and your healthcare decisions on solid ground.

What’s Driving the Crisis?

1. Loss of Temporary Subsidies

For years, expanded federal subsidies kept premiums manageable for middle-income households. Those temporary incentives are rolling back, and many Floridians are seeing their premiums double—or worse.

2. Higher Premiums for Anyone With Medical Risk

Insurers can’t deny coverage for pre-existing conditions, but they can (and do) raise premiums across the board. Families managing chronic or serious medical conditions are feeling the squeeze the most.

3. Fewer Affordable Private Options

Many private carriers are increasing deductibles, narrowing their networks, or leaving the market completely. That leaves families with difficult decisions and fewer safety valves.

Where This Collides With Estate Planning

Healthcare and estate planning have always been linked, but instability in the system makes that connection unavoidable.

1. Families Need Clear Authority for Medical Decisions

If insurance changes force provider switches or require fast authorization for treatment, the people handling your medical care need unquestioned legal authority. A Health Care Surrogate and HIPAA Authorization make sure there’s no delay.

2. Durable Powers of Attorney Become Even More Critical

When premiums jump or coverage changes, families often need to move money or negotiate debts quickly. A Florida Durable Power of Attorney gives someone the legal authority to act when timing matters.

3. Medical Debt Can Affect Your Estate

Estate planning won’t stop medical inflation, but it can keep a bad situation from getting worse. Proper homestead planning and well-structured trusts can help protect your family from the fallout of large medical bills.

4. Long-Term Care Planning Is No Longer Optional

If the insurance market continues to destabilize, more Floridians may find themselves paying for long-term care sooner than expected. Early planning offers more options and fewer surprises.

How You Can Make Your Voice Heard About Subsidies

Many families feel powerless when premiums spike, but you aren’t without options. Congress controls federal subsidies, and every representative and senator tracks constituent messages closely—especially when a large number of people raise the same concern.

If you believe the subsidy expansions should be extended, here are the most effective ways to reach the people who make that decision:

1. Contact Your U.S. Senator

Florida’s two U.S. Senators can be reached through:

- senate.gov → Find Your Senators → Contact Form

- Phone numbers listed directly on their official websitesWritten messages and phone calls are logged and tallied.

2. Contact Your U.S. House Representative

Your House member represents your district directly.Visit:

- house.gov → "Find Your Representative" → Enter your ZIP codeEach member has a contact form and district office phone line.

3. Keep Your Message Simple and Direct

A brief message is more effective than a long one:

- State you are a Florida resident

- Explain that health insurance costs have become unsustainable

- Ask Congress to extend or reinstate the enhanced Marketplace subsidies

Even a small number of calls can influence whether these provisions get attention.

Why “Waiting to See What Happens” Isn’t a Strategy

Crises rarely hit all at once. They build slowly, then arrive suddenly.

A subsidy expires…A premium doubles…A denial requires an urgent switch in providers…

When these events collide with a health emergency, families without clear legal authority in place can lose valuable time, money, and control. Estate planning is not just about “what happens when I’m gone.” It protects your family when life becomes unpredictable.

Conclusion

You can’t fix the health insurance crisis, but you can make sure your family isn’t left vulnerable when the system shifts under your feet. If you have questions about how rising healthcare costs might affect your estate plan, contact Bart Scovill, PLC through our website’s contact form.

Disclaimer: This article is for general informational purposes only and is not legal or tax advice. Estate planning and probate matters are fact-specific, and laws change over time. Bart Scovill, PLC does not provide tax advice. You should consult with qualified legal, tax, and financial professionals before making any decisions. https://scovills.com/?p=3384

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