NEW YORK — Priscilla Brown, a truck dispatcher from Florida, struggles to manage her Type 2 diabetes while navigating soaring healthcare costs. With premiums rising and essential medications becoming less affordable, she's often forced to ration her insulin or skip doses altogether. It’s so much with insurance, it’s crazy, she says.

About 80% of Americans who re-enrolled in Affordable Care Act marketplace coverage report that their healthcare costs are significantly higher this year. This follows the expiration of enhanced tax credits aimed at making healthcare more manageable for many families.

A recent survey from KFF shows that nearly 55% of the 1,117 respondents are planning to cut back on food and other necessities in response to skyrocketing costs. Brown, who previously paid nothing for her health insurance, is now being asked to pay $17 a month while also facing higher deductibles.

The rising costs aren’t only affecting individual health decisions. They are forcing individuals like Brown to choose between medication and basic needs like gas.

Many returning ACA enrollees express harsh criticism of both health insurance companies and political leaders for the financial burden they face. Approximately 70% blame insurance companies for the price hikes, while just over half hold politicians accountable.

As the Congress grapples with healthcare reform, the struggles of everyday Americans persist, sparking anxiety and frustration over unresolved financial challenges in healthcare access.