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Charles "Trey" Wright lives in Jesup, Georgia, where he recently completed a master's program in public health. In January of 2025, after some time without health insurance, Trey enrolled in Georgia Pathways to Coverage, a Medicaid program for Georgians ages 19-64 who have a household income of up to 100% of the Federal Poverty Level (FPL).
For Angel, a 30-year-old living in Texas who has battled severe asthma since birth, that search led him through countless treatments before finally finding stability with Trelegy. Even though Trelegy worked, Angel’s insurer initially refused to cover it. Angel’s experience underscores how difficult it can be for patients with chronic conditions to access the medications that best manage their health.
Amy Bielawski, a 60-year-old small business owner in Tucker, Georgia, relies on Affordable Care Act to keep her health insurance affordable. After years without coverage, she now has an Expanded Bronze plan that includes dental and vision benefits, coverage she couldn’t afford without Premium Tax Credits.
As the mother of two children, Miranda’s life changed when her young son was diagnosed with type 1 diabetes. Managing his condition requires an insulin pump, a continuous glucose monitor, and round-the-clock monitoring, all of which come with staggering costs that she would not be able to afford without Medicaid.
Whitney Lee is a disability rights and mental health consultant in Utah who focuses specifically on autism. They participate in research studies on autism and suicide and have assisted researchers studying Medicaid recipients. Whitney has relied on Medicaid for about five or six years in addition to being covered under their parent’s insurance plan. Medicaid helps cover the remaining medical costs that would be over one hundred dollars or more.
Amy Johnstone relies on the Affordable Care Act and its Premium Tax Credits to afford health insurance in one of the country’s most expensive markets. Without these subsidies, her medical expenses for a chronic condition could easily exceed her household income. Her story highlights how critical the ACA and tax credits are for ensuring access to health care.
Amber Bazile was adopted at six weeks old by her parents, Margaret and Wayne Mimbs, and raised in Macon, Georgia, where she still resides today. Amber lost her mother, Margaret, in May of this year after months of mismanaged hospice care. Amber shared, "we believed she would be cared for with comfort and dignity, but that’s not what happened. The care was disjointed, neglectful, and inadequate."
When his daughter Gloria was born with complex medical needs, Leslie Rogers uprooted his life to fight for her survival. The family endured impossible choices, liquidating their savings and facing sleepless nights to keep her alive. Medicaid finally gave them stability, but with cuts looming and critical programs already shrinking, Leslie worries families like his could once again be pushed to the brink.
After graduating into a tough economy, Sarah juggled part-time teaching and self-employment, but couldn’t afford the health insurance offered through her jobs. When Michigan expanded Medicaid, she finally gained coverage that allowed her to access essential surgeries, ER visits, and ongoing care for serious health issues. For Sarah, Medicaid wasn’t just financial relief, it was the difference between survival and devastating medical debt.
When Sydney Macha suddenly lost her insurance, the ACA made it possible to afford care and keep her salon business alive. With tax credits, she pays just $13 a month for coverage that provides life-saving medications, surgeries and specialist care.