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The Brief

The most important stories for you to know today
  • Last week for Yue Wa Market
    An Asian woman stands at the entrance of a small market under a green tarp, smiling and holding a bunch of long green beans. Behind her, a younger Asian man stands amid stacked produce boxes, and shelves of groceries line the back.
    Yue Wa market owner Amy Tran holds a bundle of yardlong beans at the entrance to her Chinatown grocery.

    Topline:

    Yue Wa Market, a Chinatown grocery known for hard-to-find produce and a neighborly vibe, is shutting down this week. After 18 years, rising rents, pandemic losses, thefts and a family crisis proved too much for owner Amy Tran.

    The impact: Chinatown is losing one of the few places to buy fresh Asian produce close to home. Older residents and working families now face fewer affordable options to put culturally familiar food on the table.

    Go deeper on a changing Chinatown: Unease in Chinatown As Santa Monica Developer Sweeps Up Shop

    Cruise down Broadway in Chinatown and Yue Wa Market is easy to miss. Not much bigger than a studio apartment, the store hides under a green awning, wedged between a souvenir shop and a pharmacy.

    But inside, it’s been a place of connection. For 18 years, owner Amy Tran has greeted customers with a ready smile and hard-to-find produce like Chinese sponge gourd, yardlong beans and heart-shaped cherimoya.

    One recent morning, Tran held up a bunch of moon drop grapes she bought at a downtown warehouse just hours earlier.

    “Very beautiful,” she said in Mandarin as a group of retiree friends crowded around, murmuring in agreement.

    A person in a pink striped shirt holds up a bunch of long, dark-purple moon drop grapes. Behind her, another woman in a sun hat smiles.
    Yue Wa Market specializes in Asian produce and harder-to-find food items like moon drop grapes.
    (
    Josie Huang
    /
    LAist
    )

    Satisfying customers is what Tran loves about running the market. But she said it’s time to let go.

    This week is Yue Wa's last. Climbing rent and business drop-off since the pandemic — compounded by increased thefts and this summer’s immigration sweeps — have forced 57-year-old Tran to shutter her business.

    She breaks the news to her regulars, largely Asian and Latino shoppers who live or work nearby, bouncing between Mandarin, Vietnamese, Spanish and her native Cantonese.

    A street view of a small grocery storefront with a sign that reads "Yue Wa Market" shaded by a green awnings with boxes of produce displayed on wooden crates outside. Several shoppers browse the stands and talk with the vendor.
    Yue Wa Market blends into the storefronts of Broadway in L.A.'s Chinatown.
    (
    Josie Huang
    /
    LAist
    )

    “The business is slow,” she said in English to a Thai customer, who looks crestfallen. “Everything not so good for us.”

    A neighborhood cornerstone

    It’s a story oft-heard across Los Angeles. Mom ‘n pop’s that anchor immigrant communities are disappearing under economic strain and gentrification pressures as new housing developments and upscale businesses move in.

    Yue Wa is the latest grocery to close in Chinatown in recent years, leaving the neighborhood with fewer options for fresh food.

    Ott Bhandhumani, a retired Thai caterer who lives in subsidized senior housing just blocks away, said Yue Wa has been essential for him and his wife. After Chinatown’s last two full-service grocery stores closed in 2019, just a handful of street vendors and small grocers like Tran’s were left.

    An Asian woman in a pink, yellow and white shirt bags bananas while a Latina customer waits holding cabbage and yardlong beans.
    Yue Wa's closure leaves Chinatown with fewer options for those who live and work in Chinatown to buy fresh produce.
    (
    Josie Huang
    /
    LAist
    )

    “I came to this place only because she was nice to me,” said Bhandhumani who wishes now he was more of a "big customer" at Yue Wa.

    For Tran, the decision to close comes after years of struggle.

    Business never rebounded after the pandemic, when many shoppers left Chinatown, some to move in with families like in the San Gabriel Valley, she said. Many of the newer residents skip shopping at an old-school, Chinese-style market where prices aren't listed and haggling is expected.

    “She doesn’t want to let go of the store,” said her son, Derek Luu. “But she just feels very hopeless about the situation.”

    Family support

    Luu, a filmmaker who works with AIDS nonprofits, came home from New York this month to help his mom close up shop.

    He grew up in Yue Wa Market, which his mother bought when he was 10.

    Before becoming a shopkeeper, Tran held an assortment of jobs in Chinatown after emigrating from Vietnam with her Chinese family — from waiting tables to working shifts at a bakery. For a spell, she was driving to different businesses, hawking plastic shopping bags.

    “I remember our living room was just kind of swimming with boxes of bags,” Luu said. “She has always had this entrepreneurial spirit.”

    A younger Asian man in a black tank top sits smiling, showing a cloud-pattern tattoo on his shoulder. Behind him,  an older Asian woman in a blue tank top stands under a green tarp with a Metro bus passing on the street outside.
    Derek Luu, Amy Tran's son, came home from New York to help his mom close up shop.
    (
    Josie Huang
    /
    LAist
    )

    The previous owner of Yue Wa sold herbal supplements and tea before approaching Tran to take over the business in 2007. She at first added yams to her inventory for its medicinal properties. But at customers’ request, she kept expanding the produce section until stacked crates of fruits and veggies spilled onto the sidewalk.

    As a teen, Luu pitched in at the store after finishing classes at his arts high school a short walk away from Yue Wa.

    He returned there to work during the pandemic, leaving UCLA so he could protect his mother from the surge in anti-Asian attacks from strangers.

    “They would come in, take product and throw it into the street,” he recalled. “They would yell slurs at my mom. It got to a point where I just felt like I needed to be here.”

    Since the pandemic, thefts have become a weekly occurrence — with losses ranging from stolen register money to pilfered fruit. CCTV shows both Tran and her sole employee, 75-year-old Shi Zong Xu, being robbed. The family estimates they’ve lost tens of thousands of dollars over the last several years.

    A faintly-smiling older Asian man wearing glasses, a blue cap, and a green apron stands inside a store, its shelves packed with boxed goods.
    Seventy-five-year-old Shi Zong Xu, Amy Tran's sole employee at Yue Wa Market, plans to retire after the store closes.
    (
    Josie Huang
    /
    LAist
    )

    Tran reasons that more people are suffering hardship, and will often just give away food or cash if she sees someone loitering around her shop.

    Tran took out loans to keep the shop afloat as the monthly rent rose to $3,450. But the strain only deepened. The ICE raids this summer scared off some longtime customers and vendors. And then the family became crime victims in their own home.

    A family crisis

    The family, which includes Tran's husband Hugh and younger child, Tiffany, saw their San Gabriel Valley home go through several break-ins — likely by criminals targeting Asian households in the region, they've been told by investigators.

    Luu said in the most recent incident in June, his sister was assaulted and injured. The Los Angeles County Sheriff’s Department, which is investigating, has not identified the suspects.

    Seeing her daughter suffer has been crushing for Tran.

    A young Asian man in a black tank top sits on a stool inside a store, watching two Asian women — one in a blue blouse and gloves, another in a green shirt — standing near the open doorway. A school bus and green tarp are visible outside.
    Amy Tran and her son Derek Luu speak with a neighborhood friend.
    (
    Josie Huang
    /
    LAist
    )

    “My mom just ran out of things to say to my sister,” says Luu. “She felt like she didn’t do enough to protect us. I told her she didn’t fail. She didn’t do anything wrong.”

    To help her out during this time of transition, Luu started a GoFundMe for his mom, who herself is dealing with diabetes and cataracts.

    Tran doesn’t share her family trauma with customers. She only tells them she can’t afford to stay in Chinatown.

    Customers adrift

    For regulars, the closure is a heavy loss.

    “It makes me upset,” said Sarah Mondol, a nursing student who shops weekly at Yue Wa for her family of six.

    She relies on the market for produce like okra, cauliflower and eggplant to make traditional Bangladeshi dishes. “Everything is fresh, and it’s convenient to where I live.”

    Mondol said she’ll likely start taking the bus more often to a full-service grocery store about two miles away.

    An Asian woman smiling in a navy blouse and blue gloves, chats with another Asian woman in a black T-shirt under a green tarp surrounded by bins of fresh produce.
    Yue Wa regular Sarah Mondol says she was sad and upset the market was closing after making weekly visits for the five years she and her family have been living in Chinatown.
    (
    Josie Huang
    /
    LAist
    )

    “I can go to Smart & Final, but you know, there are not good Asian vegetables I can find there,” she said.

    Bhandhumani, the retired Thai caterer, has been battling cancer and said he often doesn't have the strength to shop far from home.

    He can’t begin to guess what will replace Yue Wu, but said Chinatown is changing to where it’s not so much for older people like him on a fixed income.

    “You can see that they have a new apartment come up, and the price [is] sky- high,” Bhandhumani said. “You can't touch it. We can’t do luxury.”

    Tran hasn’t heard what will open in her spot. All she knows is she must be out when her lease ends this month to clear the way.

    “Everything that doesn't sell, I’ll try to store it at home,” she said.

    Tuesday is her last day. She’s inviting customers to stop by to pick up some tea or fruit, pose for a picture or just say hello — one last time.

    Where to go

    Yue Wa Market
    658 N. Broadway, Los Angeles
    (213) 680-4229

  • Work to begin Monday
    A peeling chemical tank is seen next to two other intact tanks at the GKN aerospace facility in Garden grove. An RV can be seen on the right hand side peeking into the picture. An even larger tank is behind the two other tanks.
    The chemical tank at the GKN Garden Grove aerospace facility.

    Topline:

    On Monday clean up begins for two tanks of neutralized methyl methacrylate at the center of last month’s chemical incident in Garden Grove.

    The backstory: About 50,000 Orange County residents were evacuated for several days after one of the tanks overheated on May 21, generating fears of an explosion or a leak through the Memorial Day weekend.

    What's next: The cleanup will be done in phases. This phase wraps Thursday, July 2.

    Go deeper: FBI executes search warrant at site of Garden Grove chemical meltdown scare

    A hazardous materials team will begin working Monday to remove neutralized methyl methacrylate from two of three tanks at the GKN aerospace facility in Garden Grove.

    Some 50,000 Orange County residents were evacuated for several days last month after one of the tanks overheated on May 21, causing fears of an explosion or a leak through the Memorial Day weekend.

    The clean-up will be done in phases, until Thursday, “with multiple layers of safety protocols and oversight measures in place,” according to a press release from the Orange County Health Care Agency.

    Garden Grove chemical cleanup

    Updates on the cleanup activities will be posted publicly here, including air monitoring data.

    Containers that support temperature control and secure transportation will be used in the operation.

    Cleanup was initially scheduled to begin June 4, but was postponed after officials said "needed resources" were unavailable.

    Orange County District Attorney Todd Spitzer launched an investigation into the incident last month. The FBI and Environmental Protection Agency also seized evidence at the facility earlier this month.

    Methyl methacrylate produces a fruit-like odor, Orange County Health Care Agency said residents may notice the scent during the operation. The agency said levels will remain below thresholds that could pose health risks.

    Officials say environmental protection will be in place throughout the week. Air will be continuously monitored through both mobile and fixed equipment at the fence line of the facility and in the community. Air and odor monitoring based on wind conditions will also be done. Work will occur only during the daylight hours until Thursday.

  • Sponsored message
  • Budget cuts limit education access
    a number of men in blue shirts sit at desks with papers and books in front of them, many of them holding pencils
    Incarcerated people study to take the G.E.D. exam at San Quentin State Prison on July 26, 2023.

    Topline:

    California prisons are limiting access to programs for incarcerated people as the system manages it overtime budget. The state spends about $18 billion a year on corrections.

    Why now: The rollback began earlier this month and will end June 30, according to documents obtained by CalMatters. Corrections spokesperson Terri Hardy described the limitations as a “cost-saving measure.” The department’s overall budget has remained about flat since 2022 around $18 billion a year despite recent cuts that include five prison closures.

    The backstory: Lawmakers at budget hearings earlier this year pressed Corrections Secretary Jeff Macomber to tighten spending as the department asked for additional $91 million in ongoing funding to cover unbudgeted personnel costs. The department last month also proposed an additional $100 million in workers compensation.

    Read on ... for more on how these cuts will affect programs in the prisons.

    The California Department of Corrections and Rehabilitation is restricting access to rehabilitative programming for incarcerated people as it clamps down on overtime spending before the end of its financial year.

    Hundreds of rehabilitative programs operate throughout California prisons, including restorative justice, violence prevention, higher education, creative arts expression and entrepreneurial training.

    The rollback began earlier this month and will end June 30, according to documents obtained by CalMatters. Corrections spokesperson Terri Hardy described the limitations as a “cost-saving measure.” The department did not respond to a detailed list of questions, including which prisons and programs have been affected.

    The department’s overall budget has remained about flat since 2022, around $18 billion a year despite recent cuts that include five prison closures.

    Lawmakers at budget hearings earlier this year pressed Corrections Secretary Jeff Macomber to tighten spending as the department asked for additional $91 million in ongoing funding to cover unbudgeted personnel costs. The department last month also proposed an additional $100 million in workers compensation.

    The California Correctional Peace Officers Association, the union that represents state prison guards, did not respond to CalMatters’ requests for an interview.

    Tony Tafoya, who’s been incarcerated since 2012, said he’s never seen anything like this happen before. Tafoya said the scale-back has had the biggest impact on college classes. He’s currently enrolled in Mount Tamalpais College at San Quentin but said his math class has missed out on 12 days of instruction.

    “I feel like I’m falling behind,” he said. “There’s a lot of healing that comes from going to school. It provides humanity. It makes me feel like I’m actually seen as a person. I feel like that’s what’s being missed out on.”

    Programs at Pleasant Valley State Prison in Coalinga have also been interrupted, including a civic education pilot program. The program, run by the organization Initiate Justice, includes just over a dozen incarcerated people who helped draft legislation to improve social emotional learning in the K-12 school system. Assembly Bill 1851, authored by Democratic Assemblymember Mike Gipson from Gardena, is sailing through the Legislature and scheduled for an upcoming education committee hearing Wednesday.

    Antoinette Ratcliffe, executive director of Initiate Justice, said the group “thrives off of active and live discussion, off of meaningful exploration.” The severing of that connection disrupts the learning experience and practical application of the programming, she said.

    “We have made it a goal across the Legislature to make rehabilitative programming a priority, so to continue to see disruptions like this feels counter to what we agreed upon as a state,” she said. “It feels like a let down.”

    Other advocates have echoed those sentiments. Danica Rodarmel, a criminal justice reform lobbyist, said any disruption in people’s ability to access programming impacts their mental health and well being. The completion of a program or certificate, she said, is often a determining factor in people’s ability to be granted parole.

    “Limiting people’s ability to engage in pro-social activities is contradictory to the goals of maintaining safe prisons both for the people who are incarcerated but also for the people who work there,” she said.

  • Would those most at risk trust potential vaccine?
    a person in an american flag t-shirt holds up a piece of paper with red targets printed on it and which has been shot full of holes
    Matthew Mealer holds up his targets at the Busch Shooting Range in Weldon Spring, Mo., in May. Mealer said he's generally skeptical of new vaccines but might consider one for Lyme disease if it proves safe and effective.
    Topline:
    Pharmaceutical companies Pfizer and Valneva announced this spring that they plan to seek regulatory approval for a vaccine to protect against Lyme disease. But it's unclear whether this latest stab at a Lyme disease vaccine will get a warmer reception if it's approved, especially in the post-COVID era of vaccine skepticism.

    Why it matters: About 476,000 people in the U.S. may be diagnosed and treated for Lyme disease each year, the CDC says. Left untreated, Lyme disease can cause a variety of symptoms, from fevers, chills and headaches to arthritis, shooting pains and inflammation of the brain and spinal cord.

    Read on ... to see what rural hunters in Missouri think about the possibility of a vaccine and for their stories of how the disease has affected them personally.

    It's tick season, possibly the worst in a decade.

    More and more Americans are being exposed to these parasites as climate change expands the range where they can survive. That means more people are also exposed to the bevy of health conditions they can cause, such as Rocky Mountain spotted fever, the alpha-gal-triggered red meat allergy and, most common of all, Lyme disease.

    For Lyme disease, there may be some additional protection on the horizon. Pharmaceutical companies Pfizer and Valneva announced this spring that they plan to seek regulatory approval for a vaccine to protect against Lyme disease. A previous vaccine for Lyme became available in the late 1990s but was pulled only three years later due to lawsuits, public fear of side effects and a lack of interest.

    It's unclear whether this latest stab at a Lyme disease vaccine will get a warmer reception if it's approved, especially in the post-COVID era of vaccine skepticism.

    For a sense of how it might go over with rural populations at high risk of Lyme, KFF Health News spoke with a group of hunters.

    Few people spend more time in the woods exposed to ticks. At the same time, as a collective, hunters  skew conservative, rural and male, according to a survey from the Theodore Roosevelt Conservation Partnership. And these are identities associated with increased hesitancy about or resistance to vaccines, according to Ashley Kirzinger, associate director for Public Opinion and Survey Research at KFF, a health information nonprofit that includes KFF Health News.

    Targets for ticks

    Left untreated, Lyme can cause a variety of symptoms, from fevers, chills and headaches to arthritis, shooting pains and inflammation of the brain and spinal cord, according to the Centers for Disease Control and Prevention.

    About 476,000 people in the U.S. may be diagnosed and treated for Lyme disease each year, the CDC says. That's at least in part because the range of places where cases have been reported has "expanded significantly" since 1995.

    So would hunters get the Lyme vaccine if it became available?

    "Given my proclivity for the outdoors, absolutely," said Jess Manganelli, one of seven hunters (and one hiker) who spoke with KFF Health News on a recent Saturday at the Busch Shooting Range in Weldon Spring, Mo., just outside of St. Louis.

    Of the eight, Manganelli, who had been hunting turkeys the weekend before, was the most positive about the vaccine. Six others said they would consider it but would want more information about its safety and effectiveness, as well as their risk for contracting the disease.

    But Manganelli was the only one who believed she may have previously contracted Lyme disease, although she was never formally diagnosed with it. Two years ago, she experienced muscle weakness, tiredness, fatigue, swelling and headaches after a tick bite, but when she went to urgent care, she was told they didn't test for Lyme.

    Nearly all the hunters knew someone who had had Lyme disease — an old roommate, a family member, friends, a former student. Lyme can be difficult to diagnose and to treat and is often misdiagnosed at first. Many of the hunters witnessed their acquaintances navigating those challenges and struggling with sometimes debilitating symptoms.

    An illness with lingering effects

    That familiarity among the hunters in Missouri was unsurprising to author and conservationist Steven Rinella, host of the hunting show MeatEater.

    "I'm a turkey hunter. In talking about turkey hunting, you talk about ticks as much as you talk about turkeys," Rinella said. "Just the nature of turkey hunting puts you into exposure. You're sitting for long periods of time, trying to use vegetation for concealment."

    In fact, both Rinella and his older son contracted Lyme disease 13 years ago during a bluegill fishing trip in the Hudson Valley in New York. His son developed Bell's palsy, a sudden paralysis on one side of the face, but recovered quickly after a course of oral antibiotics. Steven Rinella's symptoms, on the other hand, lingered for months, leaving him unable to walk down stairs without a handrail or to ride a bike. He ended up receiving intravenous antibiotic treatments for a month.

    "I thought my life had changed," Rinella said, "but I recovered, as far as I know."

    That experience is one reason Rinella said he would absolutely consider getting a Lyme vaccine if it proved safe and provided considerable protection against the disease. Unlike with some other diseases, prior infection does not provide permanent immunity, so a person who has had Lyme could still benefit from a vaccine.

    Knowledge of similar challenges influenced the thinking of the hunters in Missouri as well.

    Jeremy Hollingshead said he may be less inclined to take a vaccine owing to his former roommate's experience with Lyme disease, which is not to say the experience was pleasant. In fact, Hollingshead said he thinks his old pal is still dealing with lingering effects of it 10 years later. But Hollingshead has spent his whole life in the woods, and of hundreds of people he knows who have done the same, he knows of only one of them contracting Lyme.

    "I know it was a bad outcome for him," Hollingshead said, but he thinks the odds of getting Lyme himself seem pretty slim.

    Meanwhile, Julian Barnes said seeing a relative struggle with Lyme makes him more open to a potential vaccine. It took a long time for doctors to come to that diagnosis, and finding a good treatment has been equally difficult.

    "I would say I am vaccine-hesitant, generally speaking," Barnes said. "But Lyme, I've seen the way it affects people in my life. ... I would definitely have to really understand the vaccine, how it works."

    An unclear path for a new vaccine

    The new, four-dose vaccine candidate technically missed one of the bars set out in trials because not enough participants contracted Lyme. Still, the companies say it's about 75% effective in reducing cases, and they plan to submit it to regulators for approval. A Pfizer spokesperson said there were no updates on their regulatory efforts when contacted by KFF Health News in June.

    Health and Human Services Secretary Robert F. Kennedy Jr. was a noted anti-vaccine activist before taking over as head the agency that oversees vaccine approvals, and he's remade it in ways that have prompted some vaccine makers to pull back on development.

    But he's also been an advocate on Lyme disease. In May, he announced an initiative to combat Lyme disease. And during his Senate confirmation hearings, he said his family had been deeply affected by Lyme disease and that nobody would work harder than he would to find a vaccine or treatment.

    If the vaccine is ultimately approved by the FDA, an endorsement from Kennedy would go a long way, according to KFF's Kirzinger, particularly among supporters of his Make America Healthy Again movement, who tend to be more vaccine-skeptical.

    "They trust him as much as they trust their own doctors to tell them what to do with their health and for health information," Kirzinger said. "If he comes out as a strong proponent of this vaccine and says, 'Look what my administration did, and we made this available,' I would imagine there would be less vaccine resistance among that group."

    Only one of the hunters who spoke with KFF Health News said they definitely would not be interested in a Lyme vaccine if it became available.

    "I kind of hand it off to God and the body he gave me. I'm pretty durable," JP Cummings said. But even though he's not interested in it for himself, he's curious to see what his fellow hunters do as more information comes out.

    "Hunters care about the wildlife; hunters care about health," Cummings said. "They love the wildlife, they love their deer, and they love their fellow hunters."

    KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF.

  • Steep price increase likely to blame
    The federal government released data on how many people dropped coverage in the 29 states that use the HealthCare.gov marketplace for ACA insurance.

    Topline:

    Five million fewer people are currently enrolled in ACA marketplace plans compared to the record high reached last year. More than 1 million fewer people picked a plan for 2026, and then 4 million more either disenrolled or failed to pay their premiums and, therefore, dropped coverage.

    Why now: Prices in the market skyrocketed after President Donald Trump and Republicans in Congress failed to extend extra financial help for enrollees last year. The Department of Health and Human Services published a report about the data on its website Friday.

    What's next: People dropping their coverage tend to be healthier people. If too many healthy people drop out of the markets, there's a danger that the markets could enter a "death spiral."

    Read on ... for more on the latest insurance market trends.

    Far more people than previously known have dropped Affordable Care Act health insurance for 2026, according to data released Friday.

    Five million fewer people are currently enrolled in ACA marketplace plans compared to the record high reached last year. More than 1 million fewer people picked a plan for 2026, and then 4 million more either disenrolled or failed to pay their premiums and, therefore, dropped coverage.

    Prices in the market skyrocketed after President Donald Trump and Republicans in Congress failed to extend extra financial help for enrollees last year. The Department of Health and Human Services published a report about the data on its website Friday.

    The report says 19.2 million people are currently enrolled in ACA insurance now.

    At its high, 24.2 million people were in the ACA marketplace in 2025, according to government figures.

    The steep drop in enrollment reflects what insurers, administrators and other health policy experts expected earlier this year. After initial sign ups were lower than last year, they predicted the picture would get worse as time went on and people found they could not afford to pay their premiums.

    "The main takeaway is that enrollment is down 13% from last year," explains Cynthia Cox, director of KFF's Program on the ACA. "While the Trump administration attributes this drop in enrollment to their attempts to address fraud, this coverage loss happened at the same time millions of people faced double- or even triple-digit increases in their premium payments with the expiration of enhanced tax credits."

    The idea that the growth in enrollment was due to massive fraud is a theory advanced by the Paragon Health Institute, a conservative think tank influential in the Trump administration.

    Many health policy experts are skeptical. They say the increase in enrollment during the pandemic is not suspicious. It was a predictable consequence of Congress's investment of billions of federal dollars in making premiums more affordable — the enhanced premium tax credits.

    "The marketplace doubled in size during the period when there were enhanced subsidies because the coverage was much more affordable and much more appealing to people," Cox says.

    This year's drop in enrollment is also predictable, given that premium costs doubled, on average, from 2025 to 2026. The costs went up after Republican lawmakers let the enhanced premium tax credits expire; Democrats shut down the government in October 2025 trying to negotiate an extension of the credits that would have kept prices low.

    "When their costs went up, many of them dropped their coverage," Cox says.

    She adds that while fraud is a real problem in the ACA marketplaces, as it is in all insurance markets, she thinks it does not account for all of the drop in enrollment.

    Stacey Pogue, senior research fellow at the Georgetown Center on Health Insurance Reforms, agrees.

    "I don't see data that point to that conclusion that a 5 million-person drop can be explained by allegations of fraud," she says. "There's lots of evidence pointing to people making decisions based on what they can pay each month."

    The higher health insurance costs are tough for consumers in an economy still plagued by overall inflation. As congress let the prices go up, people made tough decisions about family budgets, where to work, whom to marry and more.

    It's also a problem for insurance companies, several of which have announced they will not be participating in ACA markets next year, including Cigna.

    "If there are fewer customers, then that makes the market less appealing to insurance companies," Cox says.

    That's especially true because the people dropping their coverage tend to be healthier people. If too many healthy people drop out of the markets, there's a danger that the markets could enter a "death spiral."

    Cox says she's not worried about a death spiral at this point.

    "I think there are still enough people buying ACA marketplace coverage and that's going to keep these markets working," she says. "At this point, we don't see any parts of the country that are at risk of having no insurance company. If that were to happen, that would be what a death spiral might look like."

    Even so, the premiums for these plans are on track to keep rising, which could continue to pummel consumers navigating high health care costs. Enrollment in the marketplaces may continue to shrink too. According to a recent analysis from Pogue at Georgetown, early insurance rate filings for 2027 show that rates will be going up again next year.