WASHINGTON (AP) — Millions of people who pay the full cost of their health insurance will face the sting of rising premiums next year, with no financial help from government subsidies. Renewal notices bearing the bad news will go out this fall, just as the presidential election is in the homestretch. “I don’t know if I could swallow another 30 or 40 percent without severely cutting into other things I’m trying to do, like retirement savings or reducing debt,” said Bob Byrnes, of Blaine, Minnesota, a Twin Cities suburb.