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Purveyor

(29,876 posts)
Thu Mar 19, 2015, 11:37 AM Mar 2015

Americans Are Warming Up to Obamacare

Source: Bloomberg

by John Tozzi
8:53 AM EDT March 19, 2015

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The fight over Obamacare in Washington is as fierce as ever, with a Republican budget plan that would repeal the health-care law Democrats passed five years ago. In the rest of the country, opposition to the law appears to be easing.

The gap between favorable and unfavorable views of the Affordable Care Act is the narrowest in more than two years, according to a poll released today, March 19, by the Kaiser Family Foundation.



The poll of 1,503 U.S. adults found 43 percent opposed to Obamacare and 41 percent in favor. With a margin of sampling error of plus or minus 3 percentage points, the result was essentially an even split. Those in favor most often cited expanded access to insurance, while opponents cited cost.

Negative views of the law increased in the months after October 2013, when the sign-up website healthcare.gov and some state insurance marketplaces were crippled by technology failures. Now the government reports that some 16.4 million Americans have gained insurance coverage under the law.

Read more: http://www.bloomberg.com/news/articles/2015-03-19/obamacare-americans-are-warming-up-to-the-health-law

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Americans Are Warming Up to Obamacare (Original Post) Purveyor Mar 2015 OP
Yeah, funny how not having to declare medical bankruptcy can predispose one toward affordable health Aristus Mar 2015 #1
+10,000 and my NoBama insurance co. kicked me off their rolls wordpix Mar 2015 #21
Professional journalists should call it the Affordable Care Act tabasco Mar 2015 #2
Yep it was meant to SmittynMo Mar 2015 #7
Obamacare mobeau69 Mar 2015 #9
It's true that it's been reappropriated but I still hate it. Unvanguard Mar 2015 #18
Newtbamacare. area51 Mar 2015 #10
Why are republicans hell bent on killing it? IronLionZion Mar 2015 #12
...............crickets.............. Darb Mar 2015 #16
You honestly think that's serious? Doctor_J Mar 2015 #23
Big Insurance and Big Pharma, too wordpix Mar 2015 #34
They have a major case in front of the supreme court IronLionZion Mar 2015 #37
Oh, man Doctor_J Mar 2015 #46
Good luck buddy IronLionZion Mar 2015 #47
And patient protection IronLionZion Mar 2015 #14
patient protection is big and thank goddess we have it now wordpix Mar 2015 #35
I love how he embraced the perjorative and made it a positive. Nye Bevan Mar 2015 #20
I kinda like "O-care" & the program saved me wordpix Mar 2015 #22
Isn't that a bit of an oxymoron...."professional" journalists? MADem Mar 2015 #39
There's still some left at weekly newspapers, tabasco Mar 2015 #40
WTF is wrong with people? SmittynMo Mar 2015 #3
Brainwashing works, and Americans have been brainwashed for decades. nt valerief Mar 2015 #4
This. riqster Mar 2015 #5
+10. Sad but true, and we live with the results of the effective corp. media propaganda. appalachiablue Mar 2015 #6
Brainwashing combined with the cult of personality Doctor_J Mar 2015 #24
It's not perfect but this cancer patient would have NO insurance wordpix Mar 2015 #30
Don't tell the stupid utopians here on DU ... tabasco Mar 2015 #8
And you're happy that we have the worst care with the highest prices inthe world Doctor_J Mar 2015 #25
I'm happy that it got a hell of a lot better in the last three years tabasco Mar 2015 #29
you mean utopia like every other developed country has? Doctor_J Mar 2015 #32
Yes, let's introduce a bill into Congress for single payer right now. tabasco Mar 2015 #36
Pssh. ACA has made SP an impossibility Doctor_J Mar 2015 #42
high prices need to be controlled for sure - like my $23K IV drip wordpix Mar 2015 #31
And what do you think Gingrinchcare is going to do about those prices? Doctor_J Mar 2015 #43
I was at the gym today, and unfortunately Fox "business" news was on in front of me. C Moon Mar 2015 #11
Many conservative voters think real unemployment and inflation are both 30% IronLionZion Mar 2015 #13
Are there similar polling figures for the years after Medicare was introduced? mainer Mar 2015 #15
Americans are slow learners IHateTheGOP Mar 2015 #17
To say Americans are slow learners is an understatement ! YOHABLO Mar 2015 #19
Because they are not only slow, they are lazy learners too. notadmblnd Mar 2015 #27
It's vastly improved Insurance stocks, which was the entire point Doctor_J Mar 2015 #26
personally, I LIKE having health insurance, which I would not have without ACA wordpix Mar 2015 #33
You would also have health CARE if we had medicare for all like all of the other countries Doctor_J Mar 2015 #41
I agree with you on Big Insurance but pls. answer this wordpix Mar 2015 #48
Well until America gives us a government in both branches that will give us that, we do what we can. phleshdef Mar 2015 #49
They did. We didn't Doctor_J Mar 2015 #50
You are completely wrong... but obviously too stubborn to see it. phleshdef Mar 2015 #52
Despite this detailed and lucid reply, I still don't see how Doctor_J Mar 2015 #53
The goal is for everyone to have a financing mechanism for health care. phleshdef Mar 2015 #54
I can't believe it's already been five years. closeupready Mar 2015 #28
in 30 years this mediocre law will cement Obama's status as a fantastic president 0rganism Mar 2015 #38
If this travesty is still in place in 30 years, we'll be nothing but a 3rd world toilet Doctor_J Mar 2015 #44
if we've proven anything as a country, it's that we can sustain unacceptable burdens 0rganism Mar 2015 #55
Everyone is! Many countries are doing away with health care and substituting for-profit insurance Doctor_J Mar 2015 #45
BTW - Right Wing radio ( and probably Fox) are in full rewrite history and attacking mode underpants Mar 2015 #51
Employers shrug off Obamacare, robbing Republicans of a campaign issue VideoGameVet May 2015 #56

Aristus

(66,294 posts)
1. Yeah, funny how not having to declare medical bankruptcy can predispose one toward affordable health
Thu Mar 19, 2015, 11:39 AM
Mar 2015

insurance...

 

tabasco

(22,974 posts)
2. Professional journalists should call it the Affordable Care Act
Thu Mar 19, 2015, 06:43 PM
Mar 2015

"Obamacare" is something the pukes made up.

SmittynMo

(3,544 posts)
7. Yep it was meant to
Fri Mar 20, 2015, 07:26 PM
Mar 2015

piss Obama and the Dems off. It has backfired bigtime. And I'm pretty sure Obama now likes it. Why not? His name is all over it.

However, when I refer Obamacare as the ACA to people, no one knows what it is. Especially Republicants.

Once he's out of office, I'm sure people will catch on the the term ACA.

mobeau69

(11,133 posts)
9. Obamacare
Fri Mar 20, 2015, 10:49 PM
Mar 2015

Just like President Obama, I own the term. The pukes thought "Obamacare" was a useful dysphemism. Obama turned their little word game right back in their face. Now and forever it's "Obamacare" for me.



Unvanguard

(4,588 posts)
18. It's true that it's been reappropriated but I still hate it.
Sun Mar 22, 2015, 12:00 PM
Mar 2015

Reinforces the worst aspects of our horse-race celebrity-focused political culture. The Affordable Care Act isn't about Obama.

 

Darb

(2,807 posts)
16. ...............crickets..............
Sat Mar 21, 2015, 11:33 AM
Mar 2015

Drive-by whine. Must not have gotten their pony.

I find that most of the time someone makes a claim like "newtcare" or whateverthefuck it was, they are either suspect or ponyboys.

 

Doctor_J

(36,392 posts)
23. You honestly think that's serious?
Mon Mar 23, 2015, 10:09 AM
Mar 2015

It's part of the show. Big Insurance would cut them off at the knees if it were actually repealed.

wordpix

(18,652 posts)
34. Big Insurance and Big Pharma, too
Mon Mar 23, 2015, 04:45 PM
Mar 2015

Pharma is the #1 expense on my bills. I found the true cost of my chemo on a NIH web page and it was $3600/round for drugs + administration. The "allowed charge" is $23K/round, about $21K for the drugs alone.

What I don't get is why Big Insurance agrees to this "allowed" charge when these insurance cos. can go to a web page like I did and find out the true cost is way less. Don't tell me there's no graft and corruption going on here.

IronLionZion

(45,380 posts)
37. They have a major case in front of the supreme court
Mon Mar 23, 2015, 05:07 PM
Mar 2015

where you and the tea party are both sharing the same position against subsidies.



It's a hell of a show, over 6 years so far and still going strong.

 

Doctor_J

(36,392 posts)
46. Oh, man
Mon Mar 23, 2015, 08:00 PM
Mar 2015

your back yard must be full of unicorns too.

where you and the tea party are both sharing the same position against subsidies.


Err...I am against taking 1 out of every 5 dollars that should go toward health care and give it to useless, bloodsucking profiteers who would let their "clients" die rather than give back some of the billions they're stealing every year. I am against getting 6 bills after a routine procedure, and spending hours on the phone trying to get the insurance company to pay. I am against paying 2000% mark-up on drugs that have been on the market for decades. I am against paying extra money so my insurance company can buy TV ads to recruit more victims.

Stop lying about SP advocates.

It's a hell of a show, over 6 years so far and still going strong.


Yep, and just as successful as it was 6 years ago.

IronLionZion

(45,380 posts)
14. And patient protection
Sat Mar 21, 2015, 07:57 AM
Mar 2015

the biggest benefits are often the regulations for minimum coverage, 80/20 rule, no copay for screenings, no lifetime caps, no annual caps, quality outcome incentives, better portability of records, wellness incentives, etc.

Nye Bevan

(25,406 posts)
20. I love how he embraced the perjorative and made it a positive.
Sun Mar 22, 2015, 08:06 PM
Mar 2015

Kind of like how "Iron Lady" was originally intended by the Soviets as an insult for Margaret Thatcher.

MADem

(135,425 posts)
39. Isn't that a bit of an oxymoron...."professional" journalists?
Mon Mar 23, 2015, 06:36 PM
Mar 2015

They're info-tainers, if you ask me.

I was shocked at the number of so-called "journalists" polishing their acting chops on Season 3 of House of Cards! Everyone on the networks and cable news shows got a check, pretty much!

SmittynMo

(3,544 posts)
3. WTF is wrong with people?
Fri Mar 20, 2015, 10:16 AM
Mar 2015

43% vs 41%? Why anyone would not want healthcare for it's citizens is wrong. Dead wrong.

 

Doctor_J

(36,392 posts)
24. Brainwashing combined with the cult of personality
Mon Mar 23, 2015, 10:10 AM
Mar 2015

The worst, most expensive system in the world is now permanent. Thanks Obama!

wordpix

(18,652 posts)
30. It's not perfect but this cancer patient would have NO insurance
Mon Mar 23, 2015, 04:35 PM
Mar 2015

if it weren't for O-care. And if I had to pay out-of-pocket for all my treatments, I would have no retirement account left and probably no home. Is that what you and repukes want? To leave seniors with wiped out bank accts. they've been working all their lives for, and possibly have to sell their homes to boot? Yeah, good alternative, doc.

If you don't like it, work to make it better. For one thing, let's stop giving drug cos. whatever they a$k for their drugs. My allowed provider charge for each round of (decades old, decades used) chemo was $23K, and most of it was for the drugs. Outrageous for a simple IV drip! THIS is what will bring O-care down, along with Medicaid and Medicare, more than anything else.

 

tabasco

(22,974 posts)
8. Don't tell the stupid utopians here on DU ...
Fri Mar 20, 2015, 07:26 PM
Mar 2015

they plan to stay home next election because the parties are the same or some such deluded horseshit.

They'll be happy to see 20 million Americans lose health care as long as they can "make their statement."

 

Doctor_J

(36,392 posts)
25. And you're happy that we have the worst care with the highest prices inthe world
Mon Mar 23, 2015, 10:11 AM
Mar 2015

talk about deluded horseshit

 

tabasco

(22,974 posts)
29. I'm happy that it got a hell of a lot better in the last three years
Mon Mar 23, 2015, 04:00 PM
Mar 2015

Of course, it's not utopia yet, so there will be screechers.



 

Doctor_J

(36,392 posts)
32. you mean utopia like every other developed country has?
Mon Mar 23, 2015, 04:40 PM
Mar 2015

And you're right. It's gotten a helluva lot better for the insurance companies and hospitals. BTW this "improvement" has made single payer healthcare an impossibility. You can thank the heritage foundation if you want. I'll pass.

 

tabasco

(22,974 posts)
36. Yes, let's introduce a bill into Congress for single payer right now.
Mon Mar 23, 2015, 05:03 PM
Mar 2015

We'll just tell Congress to look at all those utopias in other countries and it's sure to convince them.

GREAT IDEA!

A vast majority of informed liberals believe the ACA is a step in the right direction toward single payer. Of course, it seems republicans and insurance companies really hate it. Bullshit predictions about the ACA driving up the cost of care have been proven FALSE.

Go ahead and stay home on election day or vote for some asswipe with a big mouth and big ego like Nader. Won't accomplish shit.

But, before you go, please name one country you consider to be utopia. If it's true, I might like to move there.

 

Doctor_J

(36,392 posts)
42. Pssh. ACA has made SP an impossibility
Mon Mar 23, 2015, 07:38 PM
Mar 2015

Big Insurance is now part of the government. They've been guaranteed hundreds of billions of dollars per year. We will never, ever get them out. And if Heritage Care is so wonderful, why aren't all of the other countries getting rid of their health CARE and replacing it with mandatory for-profit insurance?

Heritage Care is a step AWAY from single payer - a giant step away. In fact it's made SP pretty much impossible. If SP was really the goal, then we would be better off where we were. If OTOH your goal was to force middle income people with employer coverage to foot the bill for guaranteed 20% profits to the insurance companies, then ACA is indeed wonderful.

Ah, blaming Nader for our worst-in-the-world healthcare. That's pretty far out there, even for a BOGer. And if the other countries are not utopia, then why did you make another post saying that single payer IS utopia? Why must the fan club argue every side of every issue? Can't you just adopt some actual principles and stick with them?

wordpix

(18,652 posts)
31. high prices need to be controlled for sure - like my $23K IV drip
Mon Mar 23, 2015, 04:38 PM
Mar 2015

per chemo round for old chemo that's been used for decades (not new, not life-saving, not cutting edge).

OTOH, I personally have had outstanding care as a cancer patient. Could not be happier about that, and O-care is working for me.

 

Doctor_J

(36,392 posts)
43. And what do you think Gingrinchcare is going to do about those prices?
Mon Mar 23, 2015, 07:44 PM
Mar 2015

It's pretty discouraging that you literally believe that you getting care offsets the fact that everyone in the country is being gouged. I personally believe that we can have care for everyone without paying billions in extortion to health insurance middlemen who contribute nothing.

C Moon

(12,209 posts)
11. I was at the gym today, and unfortunately Fox "business" news was on in front of me.
Sat Mar 21, 2015, 03:11 AM
Mar 2015

They played a "commercial" (yeah, right...a commercial) telling viewers to show support for a bill in congress to end Obamacare. I saw the same ad a few months ago. No surprise there: that's about all the GOP has been focused on for the past several years.

It was funny watching the Fox "business news," because all the graphs showed the market in the green—not that I'm a big Wallstreet supporter. I picture Fox hoping and praying the market would tumble.

On my way out, I overheard two older gentlemen complaining about President Obama. The last thing I heard as I walked down the stairs was, "Yeah, well wait until we get that Clinton guy's wife in there."

IronLionZion

(45,380 posts)
13. Many conservative voters think real unemployment and inflation are both 30%
Sat Mar 21, 2015, 07:44 AM
Mar 2015

at least. And everyone is just depending on socialist handouts instead of working. Very few can handle the fact that most beneficiaries of socialist programs are over age 65 and the US is actually in deflation now because of lower oil prices.

Just wait until someone tells you obamacare is killing jobs at oil companies and closing overseas factories.

mainer

(12,018 posts)
15. Are there similar polling figures for the years after Medicare was introduced?
Sat Mar 21, 2015, 09:35 AM
Mar 2015

Just curious if there are similarities in how long it took for the public to approve.

 

IHateTheGOP

(1,059 posts)
17. Americans are slow learners
Sun Mar 22, 2015, 10:31 AM
Mar 2015

Anyone with half a brain could readily see that the ACA has vastly improved the health care situation in this country. For it to take this long to realize this is mostly the media's fault. That being said, I get the same media and I knew it was good long ago. Americans aren't the sharpest knives in the drawer.

notadmblnd

(23,720 posts)
27. Because they are not only slow, they are lazy learners too.
Mon Mar 23, 2015, 10:33 AM
Mar 2015

If only they would realize how much more energy it takes them to maintain their ignorance then it does to educate themselves.

wordpix

(18,652 posts)
33. personally, I LIKE having health insurance, which I would not have without ACA
Mon Mar 23, 2015, 04:41 PM
Mar 2015

and THAT is the point for someone with a pre-existing condition

 

Doctor_J

(36,392 posts)
41. You would also have health CARE if we had medicare for all like all of the other countries
Mon Mar 23, 2015, 07:29 PM
Mar 2015

and I would not be paying 15 times as much as I used to.

wordpix

(18,652 posts)
48. I agree with you on Big Insurance but pls. answer this
Tue Mar 24, 2015, 12:12 AM
Mar 2015

Why does Big Insurance agree to an allowed charge like $23K for one round of decades-old, non-life-saving chemo? It's an IV drip. Is Big Insurance getting a kickback from providers and drug companies when those two charge outrageous prices?

 

phleshdef

(11,936 posts)
49. Well until America gives us a government in both branches that will give us that, we do what we can.
Tue Mar 24, 2015, 12:56 AM
Mar 2015

Even Bernie Sanders said there wasn't any support for Single Payer at anytime during our large majorities. But that doesn't change the fact that President Obama has transferred an enormous amount of wealthy into the bottom rungs of the economy via the ACA... and thats a good thing. He also established, between the mandate and the patients bill of rights, the notion that there should be a certain standard of coverage for everyone and that everyone should be included in the financing of delivering those standards. Its not nearly as streamlined as single payer, not nearly as cost efficient. But conceptually, its not that far off. Its a beginning.

 

Doctor_J

(36,392 posts)
50. They did. We didn't
Tue Mar 24, 2015, 07:34 AM
Mar 2015

The ACA is the exact opposite of single payer, not a step toward it, and not "conceptually close", whatever that means.

 

Doctor_J

(36,392 posts)
53. Despite this detailed and lucid reply, I still don't see how
Tue Mar 24, 2015, 06:10 PM
Mar 2015

forcing everyone to have for-profit insurance is "a step toward" or "conceptually the same as" no one having for-profit insurance. If that makes me stubborn, I will live with it.

 

phleshdef

(11,936 posts)
54. The goal is for everyone to have a financing mechanism for health care.
Tue Mar 24, 2015, 06:43 PM
Mar 2015

One public program would be preferred over several private plans. No one here is debating that. However, it was not legislatively possible. Even Bernie Sanders said as much and he has 1000 times more credibility on the topic than you do.

0rganism

(23,931 posts)
38. in 30 years this mediocre law will cement Obama's status as a fantastic president
Mon Mar 23, 2015, 06:26 PM
Mar 2015

which is kind of funny considering how much effort the rightwingers have allocated to permanently attaching the ACA to Obama.
"Yes, Virginia, Obama really DID care!"
Obama's going to be Great because of this weak excuse for national health care, among other things. within my lifetime, i fully expect us to be looking for empty space on Mt. Rushmore.

 

Doctor_J

(36,392 posts)
44. If this travesty is still in place in 30 years, we'll be nothing but a 3rd world toilet
Mon Mar 23, 2015, 07:47 PM
Mar 2015

Billions in mandatory annual payments to useless, blood-thirty profiteers? Check

Medical bankruptcy? Check

Unaffordable deductibles and co-pays? Check

0rganism

(23,931 posts)
55. if we've proven anything as a country, it's that we can sustain unacceptable burdens
Tue Mar 24, 2015, 06:46 PM
Mar 2015

medical bankruptcy and unaffordable deductables/co-pays were the norm for ... well i dunno, but it seems like a long time.
mandatory annual payments to blood-thirsty profiteers reinforces the ACA's staying power.

yep, damn the consequences, it's here for the long haul.

 

Doctor_J

(36,392 posts)
45. Everyone is! Many countries are doing away with health care and substituting for-profit insurance
Mon Mar 23, 2015, 07:48 PM
Mar 2015

Wait...no they're not

underpants

(182,631 posts)
51. BTW - Right Wing radio ( and probably Fox) are in full rewrite history and attacking mode
Tue Mar 24, 2015, 09:26 AM
Mar 2015

Call in show yesterday afternoon had all the normal talking points and caller types.
"Premiums have increased!" - no mention of the lowest rate in 20 years.
Several callers had the "nightmare" examples. The all said they were paying around $250/month with one lady admitting that she got a $100/month discount ... oh but she HATES Obamacare.
The host referred to it as "the ACA" which is telling. He went on to say how WONDERFUL the old system was and how "everyone loved it".
One caller said her employer (small business I think) used to pay all expenses but "because of Obama" he couldn't anymore. Uh he could still pay what he did before he is just using Obamacare as an excuse.

This morning the non-call in show had a benefits expert on. The host posed this question, "How have all these regulations affected your industry?" The "expert" dutifully stated that it was limiting choices. He actually mentioned the Medical Loss Ratio but he said it was 85% (it's 80%) adding how that had driven companies, citing examples, out of the business because they "can't operate at that low of an overhead" --- which is the major part of the problem.

VideoGameVet

(15 posts)
56. Employers shrug off Obamacare, robbing Republicans of a campaign issue
Fri May 8, 2015, 01:16 AM
May 2015
http://finance.yahoo.com/news/obamacare-fades-as-a-republican-campaign-issue-200355242.html

Employers shrug off Obamacare, robbing Republicans of a campaign issue

ust 18 months ago, a Republican fantasy seemed about to come true.

The Affordable Care Act was in the midst of a disastrous rollout plagued by dialup-stye technology snafus. President Obama had sabotaged his own health-reform plan by falsely promising that everybody happy with their health plan could keep it. As frozen computer screens and canceled policies generated a tsunami of bad publicity, it seemed plausible that Obamacare might be such a flop that voters would clamor for its repeal when the next presidential election came around.

Now, with the next presidential election underway, nothing of the sort is happening. The problems that marred the rollout of Obamacare have been fixed. The law, meanwhile, is reducing the number of Americans who lack health coverage as intended, as a new report from the Rand Corp. shows. And just as important, many unintended consequences that critics of the law predicted have failed to materialize.

"The American people don’t live in the ACA bubble,” Drew Altman, CEO of the nonprofit Kaiser Family Foundation, wrote recently. “It is striking how divorced the overall public’s top priorities are from the continued political wrangling over the Affordable Care Act.”

Most of the Republican presidential candidates (both declared and presumed to be running) have voiced strong opposition to the ACA and promised to make it a top campaign issue. Former Florida Gov. Jeb Bush calls it a “monstrosity” and says the government should replace it with stripped-down coverage that’s more “consumer-directed.” Sen. Marco Rubio wants to repeal Obamacare, even though it covers 1.6 million people in his home state of Florida. Ben Carson, a retired neurosurgeon, got his start as a Tea Party favorite by ranting against Obamacare and claiming that it’s “the worst thing that has happened in this country since slavery.”

But Americans are warming to the controversial program. A recent Gallup poll shows a sharp rise in public approval of how the government handles healthcare, from 29% in 2013 to 43% today. By the time the 2016 election arrives, Obamacare bashers may have an even tougher time making the case against the law. Here’s why:

“Socalized medicine” hasn’t materialized. One big concern about the ACA was the possibility it would undermine the current system of employer-provided health insurance and lead to a market in which the government is the dominant provider of healthcare. There’s no sign of that happening. The Rand study, in fact, finds that the number of people with insurance provided by their employer rose by 8 million between 2013 and early 2015, as the chart below shows. That gain exceeds the number of jobs created during that time, suggesting that some people who could have gotten coverage through their employer before but didn't have changed their minds and signed up, since the law now requires them to have coverage. If anything, that strengthens the system of employer-sponsored insurance, which is how 60% of non-elderly Americans get their coverage.

View photo
.Source: Rand Corp.
Source: Rand Corp.
Obamacare hasn’t killed jobs. Republicans repeatedly lambasted Obamacare as a “job killer,” but it doesn’t seem to be that, either. Since the law fully took effect at the beginning of 2014, employers have created about 3.5 million new jobs, a very strong pace of job growth comparable with the late 1990s. The Gallup job-creation index, meanwhile, recently hit the highest levels since 2008. It's unlikely Obamacare is directly contributing to job growth, but it sure doesen’t seem to be harming it.

The law has helped the uninsured. The number of non-elderly adults who lack insurance has plunged from 42.7 million right before Obamacare went into effect to 25.8 million now, according to Rand. That’s an extra 16.9 million Americans who have gained coverage in less than 2 years.

There aren’t that many people negatively affected by the law. If Obama were to get a do-over on the ACA, one thing he’d probably change is the provision requiring every policy to cover a minimum set of services, which led to the widespread cancellation of certain types of policies and the repudiation of Obama’s own claim about everybody being able to keep their insurance plan if they wanted to. But the total number of people who lost coverage has turned out to be smaller than the huge controversy may have suggested.

The Rand study found that the number of people with “nongroup” coverage—plans purchased individually from an insurer, rather than provided through an employer—dropped by 1.9 million between 2013 and 2015. At least some of those, and possibly most, were policies canceled against the policyholder’s wishes because the plan failed to meet minimum coverage requirements. The harm done to nongroup policyholders, in the name of helping others, is a notable and unnecessary flaw of the ACA. But 1.9 million policyholders is only 1.1% of all non-elderly adults with insurance. There won’t be a lot of voters going to the polls on Election Day in 2106 who lost insurance because of Obamacare.

There are still plenty of problems with the ACA and with the U.S. healthcare system overall. Costs are still rising faster than inflation, with a growing portion of many families’ disposable income going toward healthcare instead of rent, food, education or savings. While the cost of premiums has flattened out, the cost of deductibles, co-pays and other out-of-pocket expenses has soared. The Affordable Care Act remains a misnomer, because healthcare remains far from affordable for many families.

Obamacare also faces a serious Supreme Court challenge in a case known as King v. Burwell, with the justices due to issue a ruling in June. If they side with the plaintiffs, the law will become invalid in 34 states and will basically cease to function. Nobody knows how the justices will rule, but striking down key provisions of the law would suddenly make healthcare a top issue in the presidential campaign once again.

If the ACA survives the Supreme Court, on the other hand, legal challenges to its existence may wind down, and negative publicity could finally subside. And Republicans may need to find something else to get voters fired up about.
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