The U.S. government has shut down as federal funding was cut off after Democrats and Republicans failed to reach a deal on a spending bill. 

Democrats insist on protecting Affordable Care Act subsidies and reversing proposed Medicaid and healthcare cuts. Republicans are pushing for a “clean” resolution without policy changes, while adjourning the House.

Democrats are calling this the “Trump shutdown.” Senator Chuck Schumer warns families could see healthcare premiums spike by $1,000 a month, forcing many to choose between essentials and medical coverage.