pknopp
Diamond Member
- Jul 22, 2019
- 91,852
- 38,806
- 2,250
100% true. Excess cost growth in health care since the passage of the ACA in 2010 has been zero (the data there goes through 2021, but the story continued through 2022; official health spending data for 2023 will probably be out next week). That's never happened over any period this long.
![]()
ACA subsidies have always cost less than expected, to the tune of hundreds of billions of dollars cumulatively at this point. A few years ago, Biden and the Dems actually reformed the ACA subsidies to be more generous and available to more people and they're still costing ~9% less right now than spending on the ACA’s original skimpier, less-widely-available premium subsidies was projected to be this year when the CBO released (well-publicized at the time) updated cost estimates ten years ago. The impacts of bending the cost curve have been substantial.
The ACA was originally designed to be deficit-reducing and in practice its spending has been much lower than expected and its savings much higher, so it isn't "funded by debt."
In fact, the ACA era has seen enormous improvements in the long-term budget/debt picture in that trillions of dollars in future federal health care spending (i.e., Medicare, Medicaid, premium subsidies) obligations have melted away as health care cost growth stalled out. You can see the progression in the parade of CBO Long-Term Budget forecasts over the past decade and a half. Trillions of dollars in health care costs, entire points-worth of GDP, vanishing as the health care cost curve bent for the first time. A BFD!
![]()
What did you do with your $2500 savings?
You can try and use obscure stats all you want but everyday people become less and less able to afford their health care.