Human Rights Watch (HRW) and Oxfam America released a statement on Wednesday calling attention to the millions of Americans who may lose affordable health insurance if Congress refuses to extend public subsidies for the Affordable Care Act (ACA) insurance marketplace.

In response to the ongoing federal shutdown–now the longest in US history–the groups warned that if healthcare subsidies are not extended, millions of Americans will need to choose between living uninsured or paying increased private health insurance prices resulting from provisions of the One Big Beautiful Bill Act (OBBBA).

Rebecca Riddell, senior policy lead for economic justice at Oxfam America, alerted to likely financial impacts on lower- and middle-class individuals in comparison to higher income people:

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