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Simon F. Haeder, Associate Professor of Public Health, The Ohio State University

How the government shutdown is hitting the health care system – and what the battle over ACA subsidies means

Democrats demanded that Republicans negotiate with them on ACA subsidies and Medicaid cuts. Kevin Dietsch/Getty Images News

Major rifts over key health care issues are at the heart of the federal government shutdown that began at the stroke of midnight on Oct. 1, 2025.

This is not the first time political arguments over health care policy have instigated a government shutdown. In 2013, for example, the government shut down due to disputes over the Affordable Care Act.

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