Larry Levitt, head of research at KFF, discusses the origins and enhancements of ACA premium tax credits, revealing how enrollment surged after COVID relief measures. Lauren Aronson, former White House official, and Alye Mlinar, GOP policy expert, debate the political stakes of these credits amid a government shutdown. They explore motivations for Democrat-led enhancements, Republican concerns over costs and fraud, and the urgent need for bipartisan solutions to avoid chaos during enrollment. The conversation highlights the crucial intersection of health policy and political negotiation.