The ACA is Working

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The uninsured rate is at record lows:


This decline is especially pronounced among the poor:

This rise in insured individuals is not leading to fewer people being able to see a doctor:

Hospitals in states that expanded Medicaid are having less uncompensated care, which will lower costs further (as well as reduced readmissions and HAIs):

Health spending as a share of GDP has gone down faster than was predicted:

Growth in per-enrollee spending by private health plans has slowed dramatically. Medicare has seen a DECREASE in per-enrollee spending, largely driven by reforms from the ACA:

Employer-based premium growth has also slowed:

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Republicans have promised to give Americans a health insurance system better than the Affordable Care Act’s and at lower cost. This is almost surely a chimera; no plan that the GOP has considered would expand coverage beyond the Affordable Care Act. To the extent that the plans would reduce costs, they would do so by relieving the federal government of responsibility for paying for coverage and placing it even more heavily on the shoulders of individuals and families. That’s not lowering costs; it’s just shifting them to those least able to pay. The fact that the GOP will have to face is that bringing healthcare to more Americans costs money. Taking it away from millions of Americans will cost money, too.

Yet the GOP pledges to overturn all that. The question the party never has found an answer to is: If this is what a failure looks like, how would it define a success?

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