The first thing that I notice about you people is ….that when talking about the ACA , or any other social program-the first and only thing that you latch on to is the cost. You never ever want to discuss the benefits. Similarly, while emphasizing the costs of implementing the program, you never want to deal with the costs of not having it. In the case of the ACA- you ignore the price of having a lot of people who are much sicker than they ever had to be if they had ongoing and preventive care. We’re talking about lost productivity, lost tax revenues, increased disability expenses and the cost of charity care in the emergency rooms.
Yes, premiums have doubled but that is only half of the story as told by the conservative and highly biased Heritage Foundation which omitted any mention of the aforementioned benefits . Presenting information selectively in order to support the party line narrative is a classic example of propaganda
Here is just some of what was left out:
The Affordable Care Act (ACA), or Obamacare, transformed the individual health insurance market by creating standardized marketplaces and introducing sweeping consumer protections. While it expanded access to millions, it also led to higher sticker-price premiums
for those who do not qualify for financial subsidies. [
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3,
4,
5]
Key effects of the ACA on individual health insurance include:
- Ban on Pre-existing Conditions: Insurers can no longer deny coverage or charge higher premiums based on medical history, allowing millions of chronically ill Americans to secure coverage.
- Essential Health Benefits: All individual plans must cover 10 core categories of care (such as maternity, mental health, and prescription drugs), preventing the sale of "skinny" or limited-benefit plans.
- Premium Subsidies: The government provides financial assistance (Premium Tax Credits) to help lower-income individuals and families afford coverage.
Increased Sticker Prices: Because insurers can no longer medically underwrite or deny sick applicants, average baseline premiums increased.
This disproportionately affects those earning too much to qualify for tax subsidies.
- Cap on Out-of-Pocket Costs: All plans must include annual limits on what enrollees pay for covered medical services.
- Dependent Coverage: Young adults are permitted to stay on their parents’ health insurance plans until age 26.
- No Lifetime or Annual Limits: Insurers are permanently banned from capping the total amount they will pay for essential health benefits over a patient's lifetime.
It should be noted that in addition to failing to mention the benefits, they omit the fact that the increased premiums are largely offset by the subsidies for those who qualify. In addition, a good deal of the increase in premiums is due to the individual mandate having been dropped, cutting into revenues.
The dramatic enrollment growth in recent years has been largely driven by temporary enhanced financial assistance (like the Advanced Premium Tax Credits), which help over
90% of enrollees lower their monthly premiums
In fairness, it does mention the declines in average premiums that occurred in all but one of the seven states that implemented “Section 1332 waivers” in 2018 and 2019. The waivers, authorized under Section 1332 of the ACA, gave those states regulatory relief from some of Obamacare’s mandates in order to enable them to better align federal subsidy dollars with enrollee need using state-based “reinsurance” programs that target funding to the sick with high health care costs.
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It must also be noted that Over
20 million previously uninsured individuals have gained health coverage through the Affordable Care Act (ACA) since its inception. However, the total number of people currently covered under the ACA is significantly higher. [
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2]
Over
45 million people have active coverage through ACA Marketplaces or the Medicaid Expansion. [
1]