Derrick Clark, 51, stands in front of the Jackson-Hinds Comprehensive Health Center in Jackson, Mississippi, on June 6, 2026. Over the past few years, Clark and many other diabetes patients in Mississippi were getting regular care through subsidized Affordable Care Act health insurance plans. But Congress allowed so-called federal enhanced subsidies to expire at the end of last year, forcing Clark and more than 200,000 other Mississippians to give up their coverage. (Photo by Shalina Chatlani/Stateline) Part 1 of an occasional series on how people are being affected by the expiration of Affordable Care Act subsidies. EDWARDS, Miss. — Every now and then a freight train rumbles through, creaking and groaning on the rusted tracks that run along the edge of the largely deserted downtown. On some days, that train is just about the only thing moving. Grandma’s Ice Cream Shoppe, an ice cream parlor owned by a retired preacher and his wife, gets only one or two customers per day. There is a ...