Retirement tax questions

We got snagged on Obamacare premium paybacks the same way ...  I took a distribution from my IRA such that I would have little or no tax to pay but, the premium subsidy was then voided and the premium payback amount is added to my taxable income.   Now, we've got a big tax bill and - just to rub salt into the wound - a tax penalty for not withholding enough from the IRA distribution.    The whole thing is pretty insidious.