When Health Insurance Costs More Than the Mortgage

Health insurance costs have reached a startling tipping point for some American families. In a growing number of cases, monthly health insurance premiums now exceed mortgage payments. Tim Lucas and Craig Berry examine how rising ACA premiums are forcing painful trade-offs for self-employed households and accelerating America’s K-shaped economic divide.

In this episode you’ll learn:
  • How extreme the cost gap has become: Some families now pay more each month for health insurance than for their mortgage.
  • A real-world example: One West Virginia couple saw premiums jump from $255 to over $2,100 per month—nearly triple their mortgage payment.
  • Who’s being hit hardest: Self-employed workers, small business owners, and early retirees without employer-sponsored coverage.
  • Why income can work against you: Households earning just above the 400% federal poverty level cutoff can lose subsidies and face massive premium spikes.
  • Where increases are most severe: In 15 states, ACA premiums jumped over 200% for certain groups—with increases exceeding 400% in states like West Virginia and Wyoming.
  • The link to the K-shaped recovery: While some households remain insulated by employer coverage, others face declining financial stability.
  • The real-life consequences: Families dropping coverage entirely, relocating for healthcare access, or changing careers solely for insurance.
When Health Insurance Costs More Than the Mortgage
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