Obamacare sign-ups are plummeting across 49 states as federal pandemic subsidies—once making coverage shockingly affordable—expired, forcing people to reevaluate their health insurance. New Mexico is the lone bright spot, using state funds to keep subsidies alive and seeing enrollment rise. The Trump administration blames fraud for the drop, but health experts say the real culprit is the loss of financial support. States relying on the federal marketplace saw average drops of 15%, with some like Ohio and Oklahoma falling 32%. Meanwhile, insurers are preparing for steep premium hikes next year and may pull back from the marketplaces, leaving consumers with fewer options and higher costs.

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