I Thought Obamacare Was Going to Lower Costs?

Several major claims and predictions made about the Affordable Care Act (ACA), also known as Obamacare, proved to be false or failed to materialize as anticipated
. These critiques come from various sources and perspectives, with some of the most notable controversies listed below.

"If you like your health care plan, you can keep it"
  • The promise: One of the most famous assurances from President Barack Obama was that individuals who liked their existing health plan could keep it under the ACA.
  • The reality: In 2013, Politifact named this the "Lie of the Year". Millions of people had their insurance policies canceled because those plans did not meet the minimum coverage requirements established by the new law. The cancellations caused a public outcry, and President Obama later apologized for the misleading statements.

"If you like your doctor, you can keep your doctor"
  • The promise: This assurance was made alongside the promise about keeping health plans.
  • The reality: As insurers created new, often narrower, networks to keep premium costs in check, many consumers found that their preferred doctors and hospitals were no longer covered by their new ACA-compliant plans.

Cost reduction

  • The promise: The ACA was promoted with the claim that it would "bend the cost curve," reducing healthcare costs for families and the federal government.
  • The reality:
    • Premiums: Average premiums for individual market plans nearly doubled in the years immediately following the full implementation of the ACA. While the ACA included measures to reduce overall spending, it also mandated richer benefit packages, which contributed to higher costs for some consumers.
    • Deficit reduction: Despite claims that the ACA would reduce the federal deficit, the law has added hundreds of billions of dollars to cumulative deficits, largely because the cost of expanding Medicaid was far more expensive than projected.
    • Marketplace enrollment: Enrollment projections for the ACA marketplaces fell significantly short of early estimates, with less than half the expected enrollment by 2016.


Fraud and waste
  • The promise: The ACA was promoted as a way to end abuses by health insurance companies and create a more efficient system.
  • The reality: Some critics argue the law has been a "gift" to insurers due to massive government subsidies. There have also been accusations of significant fraud within the system, with some critics, like the Paragon Health Institute, pointing to "phantom enrollees" and fraudulent sign-ups that take advantage of subsidies.

Impact on job growth
  • The promise: Proponents argued the ACA would boost economic performance by improving worker health and productivity.
  • The reality: Concerns were raised that the employer mandate—requiring businesses with 50 or more full-time employees to provide insurance or pay a penalty—would be a disincentive for hiring. The ACA has been associated with a rise in low-hour, involuntary part-time work in certain industries.

Access to care vs. coverage
  • The promise: The ACA aimed to increase access to care for millions of Americans.
  • The reality: While the law successfully lowered the number of uninsured individuals, it also led to higher deductibles and narrower provider networks for many, limiting their actual access to a wide range of doctors and specialists. Additionally, some studies have shown that emergency room use increased, rather than decreased, with Medicaid expansion, particularly for non-emergency
Outstanding work... 👍
 
Future federal spending obligations for health care spending have been falling considerably as the overall national cost curve has bent.

You can see it very clearly by looking at how the CBO's Long-Term Budget Projections have evolved over the last decade and a half. Their 2009 estimates for federal health spending costs were before the ACA, so they 1) were based on pre-ACA cost trends, and (2) do not include new spending required under the ACA (i.e., premium tax credits and Medicaid expansion) since those weren't law yet.

In the years after 2009, we added new federal health care programs under the ACA yet tens of trillions of dollars in future federal health care spending obligations have melted away as the cost curve bent. As you can see, the slowdown in health care cost growth has afforded us an extra 1.5% of GDP worth of budgetary space this year alone, which is worth ~$450 billion just this year.

Screenshot-2025-09-16-204244.png
So coae
 
Probably not, but compared to the $1T in 2025 it looked darn close to zero.

It was 1.2% of GDP in 1995, it's 2.2% of GDP today. In the intervening 30 years it was (mostly) converted to a program of universal coverage for the poor and near-poor.

I called bullshit.
My graph above proves you are wrong, especially about Medicaid, which is what we are discussing.

Medicaid has benefited from the bending cost curve, just like every other aspect of health care. See the evolution of the long-term budget: https://www.cbo.gov/data/budget-economic-data#1

Screenshot-2025-10-26-204713.png
 
It was 1.2% of GDP in 1995, it's 2.2% of GDP today. In the intervening 30 years it was (mostly) converted to a program of universal coverage for the poor and near-poor.
Medicaid has benefited from the bending cost curve, just like every other aspect of health care. See the evolution of the long-term budget: https://www.cbo.gov/data/budget-economic-data#1

Screenshot-2025-10-26-204713.png
The above graph shows Medicaid costs as a percent of GDP. Total nonsense.
We need to look at Medicaid DOLLARS that hit the budget and add to the $38T DEBT.
We need to cut Medicaid drastically.
If that means forcing people into ACA, paying for it with their welfare or other government benefits, fine.

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Still waiting on you guys to come up with something better. Repeal and replace? lol

It was 1.2% of GDP in 1995, it's 2.2% of GDP today. In the intervening 30 years it was (mostly) converted to a program of universal coverage for the poor and near-poor.



Medicaid has benefited from the bending cost curve, just like every other aspect of health care. See the evolution of the long-term budget: https://www.cbo.gov/data/budget-economic-data#1

Screenshot-2025-10-26-204713.png
When did the government decide to embark on a journey that was way back in the day (date unknown), that would cause it to look into the social or societal structure, and into the complicated network's of communities, character's, the economies, and their population numbers when it decided that government would be used in a manor that would rob the taxpayer's against their will, and this in order to subsidize or run social experiments that would bring about certain outcomes whether or not they would be good or bad without a consensus being calculated first that would include the vote of the American people ??

What has happened over time or during a certain time in history is that the federal government under certain types of leadership separated it's self from the citizen's as their representative leadership, and took on the role as a dictatorship and authoritarian regime that no longer allowed Americans to have a direct say or an outcome on any elected official by putting them into power, otherwise because the government no longer allowed it to be (except maybe upon the surface). Behind the scenes it's been an entirely different world where certain agendas are being pushed and decisions are made to the contrary of what the majority of Americans want.
 
Congratulations! You just got health coverage through Obamacare WOOHOO! Oh BTW your deductible is $10,000 per year. :omg:
Somehow we have to unravel the travesty that has become the hostile Healthcare industry towards the citizen's, otherwise who are stuck being forced to use it no matter how bad the plan's might be, and in return for our dollar's we aren't being treated right by the limited choices that we are offered in these plan's.

We need break out companies or new companies to form, otherwise that aren't being controlled and told to stay in line so that the noose tightens even more around our wallets while trying to squeeze out every extra dollar for very little in return to us in service's paid for.
 
No problem, take out a second mortgage to pay the premiums and deductible then MAYBE you can get some Obamacare.
Welcome to private insurance world then, because that's been the case for year's now.

Back in the day there was a huge difference in the quality of the Healthcare plan depending on where one worked etc.

My co-worker once worked in a plant and got free Healthcare provided to him as a benefit to working in that plant.

My sister work's in a plant where in the past her Healthcare plan was one of the best in the industry, and it was because it was also a benefit being offered her at a super price by a company that was a leader (still is), in it's field. It was hard to get a job there because nobody quit. Great pay packages and benefit plans were a part of it.

I worked in a plant once, and my premium was very low, and when I used my Healthcare it always paid off in quality and in care.

Now everything seems to have followed a trend where no one regardless of station in life is getting any type of difference in their plans (except for congress maybe), and instead we the citizen's are getting an equal crappy insurance plan no matter what is involved anymore.

So what happened ?

Is it because of globalism that all of this has happened ?

I have United Healthcare with my employer, and it is the worst it seems. They deny everything when it comes to claims and pay nothing on my office visits, and as well the deductibles are high as a kite. It's like my money is just being spent for nothing on the plan. When it's all over I'll get no rebate or refund for not as much as a small percentage of that money back, even though I didn't use the plan (only showing card as proof that I had a plan or insurance), except for me using my long time doctor for wellness visits that checked out to be good everytime. Vision and dental are separate plan's so go figure.
 
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At least you admit that Obama lied about obamacare.
All politicians lie to some degree. Trump tends to exaggerate.
Saying something that eventually turns out to be incorrect is not really lying. Did Obama know some plans would not be included when he said they would? I don't think he did but I'm too lazy to research the timelines.
 
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