Enrollment in the Affordable Care Act marketplace is projected to fall by nearly 5 million people this year as rising premiums and higher deductibles force many Americans to reconsider whether they can still afford health insurance coverage, according to a new analysis from healthcare nonprofit KFF.The report estimates ACA enrollment could decline from 22.3 million participants in 2025 to roughly 17.5 million this year, representing a drop of more than 20 percent.At the same time, Americans who remain enrolled are paying substantially more out of pocket. According to the analysis, average deductibles have climbed by more than $1,000, while monthly...