29 December, 2025
rising-aca-premiums-drive-couples-to-marry-for-health-coverage

As health insurance premiums under the Affordable Care Act (ACA) continue to rise, some individuals are resorting to unconventional solutions to secure coverage. In a striking example, Mary Jo Armstrong and her ex-husband, William Armstrong, remarried not out of love, but to gain access to health insurance. Their unique ceremony took place on December 18, 2023, via a Microsoft Teams call with Buff Jackson from the Allegheny County Department of Court Records.

The couple’s decision highlights the significant financial burden that escalating ACA premiums place on many families. While the ACA was designed to make health insurance more accessible, the soaring costs have left several individuals exploring drastic measures to secure affordable coverage. For the Armstrongs, the choice to remarry was driven by necessity rather than romance.

In recent years, the average premium for ACA plans has surged, with some states reporting increases of over 20%. This pattern has forced many Americans to reevaluate their healthcare options. According to the Kaiser Family Foundation, nearly 15 million people signed up for ACA plans in 2023, but rising costs could threaten future enrollment.

The Armstrongs’ situation reflects a broader trend that underscores the challenges many face in navigating the complexities of healthcare in the United States. With healthcare costs continuing to climb, some individuals are seeking out marriage as a strategic financial move, particularly when it comes to health insurance.

While their remarriage may seem unconventional, the Armstrongs are not alone. Across the country, couples are increasingly finding themselves in similar situations, where the need for health coverage outweighs traditional motivations for marriage. This trend raises questions about the intersection of healthcare access and personal relationships.

The Affordable Care Act was intended to provide a safety net for those without health insurance, but as premiums escalate, it has become clear that the system may not be meeting its original goals. With premiums expected to rise further, many families will have to make difficult decisions regarding their health and financial futures.

As policymakers consider reforms to the ACA, the experiences of individuals like the Armstrongs will likely play a critical role in shaping future discussions. The need for affordable healthcare solutions is more pressing than ever, and without significant changes, the current trajectory could leave many without the coverage they desperately need.