This week, despite a last-ditch effort by some House Republicans to strike a deal on health care, Congress remains deadlocked on whether to extend support for millions of Americans who get their health care through the Affordable Care Act.Margot Sanger-Katz, who covers health care policy, explains who will be most affected by the decision.Then, we hear directly from some of the Americans who will now face a decision: whether to keep paying for rising insurance costs or to risk going without it.Guest: Margot Sanger-Katz, a reporter for The New York Times who covers health care policy and government spending.Background reading: Four Republicans joined Democrats’ bid to force a vote on health subsidies.Obamacare users will be asked to pay more for plans that cover less.Photo: Eric Lee for The New York TimesFor more information on today’s episode, visit nytimes.com/thedaily. Transcripts of each episode will be made available by the next workday.  Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.