ObamaCare Turning Lemons into Lemonade

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ObamaCare may not be perfect but it's working. Pic courtesy Reuters.com
ObamaCare may not be perfect but it’s working. Pic courtesy Reuters.com

Last October the American people were told by the republicans that the Affordable Care Act, AKA ObamaCare had proven itself to be a complete disaster.  A mere four months later however, the health care law is chugging right along.

The Department of Health and Human Services (DHHS) released the latest ObamaCare enrollment numbers yesterday and that offered even more good news for the beleaguered administration.   It seems that approximately 1.15 million good folk signed up for coverage in the month of January, pushing the total numbers since October to a whopping 3.3 million.

January was the very first month in which actual enrollments outdistanced even the administration’s predictions by almost 90,000.

Before breaking out the party hats, however, it’s important to note that the enrollment tally comes with a few big caveats. First, the raw number doesn’t show what percentage of enrollees have made their first payments.  Secondly, it doesn’t indicate the percentage of people who already had health insurance. Finally we still don’t know exactly what those premiums will look like once the entire system is up and running.

That being said, the enrollment totals dispel the biggest concern about ObamaCare and that is it would collapse due to low participation. While Enrollments almost certainly won’t hit the administration’s original target of 7 million, they should come close. The Congressional Budget Office (CBO) estimates they’ll come in at about 6 million, and at 3.3 million, the enrollment pool is already “large enough for the market to function,” MIT economist Jonathan Gruber told Politico.

So what about that dreaded death spiral? Young people, who are crucial to ObamaCare’s success, made up just 24 percent of enrollees last year, well below the administration’s 40 percent goal.

Enrollment among young people, crucial to ObamaCare’s success, ticked up to 27 percent in January, and although that’s still below the desired level, it’s not low enough to be too problematic. A December Kaiser Family Foundation study found that even in a worst case scenario with “young invincibles” making up just one-quarter of all enrollments, premiums would only rise marginally, or “well below the level that would trigger the ‘death spiral.'”

So the death spiral, a term coined by republicans and their propaganda arm Fox News, is already off the table, and that’s before the expected March spike in young adult enrollment. Lots of healthy younger folks are believed to be procrastinating for now, waiting until the last minute to sign up.

In another bit of good news for ObamaCare, a Gallup survey out this week found the uninsured rate falling to its lowest level since 2008. Though it’s too early to draw a causal relationship between the health care law and that trend, the downturn is at least “more consistent with a story of success than the story of failure conservatives keep telling,” wrote New Republic’s Jonathan Cohn.

It’s important to remember that ObamaCare still has its warts. Amazingly, the White House has delayed several key provisions, most recently the employer mandate. That unilateral delay, John Podhoretz wrote in the New York Post, was an act of “astonishing royalism,” and underscored the fact that the administration “couldn’t get things to work because ObamaCare is unworkable.”

“This law is a lemon,” he added.

True, the health care rollout has been marred by some screwups and technical glitches, but, as the steady improvements have shown, ObamaCare isn’t unworkable; it’s working. The new enrollment figures are turning that lemon into lemonade.

Many thanks to The Week for some story contributions.

About Post Author

Professor Mike

Professor Mike is a left-leaning, dog loving, political junkie. He has written dozens of articles for Substack, Medium, Simily, and Tribel. Professor Mike has been published at Smerconish.com, among others. He is a strong proponent of the environment, and a passionate protector of animals. In addition he is a fierce anti-Trumper. Take a moment and share his work.
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Bill Formby
10 years ago

This is just like any other major program. It has had to suffer some terrible critiques before it will be viable. I still wish they had just opened up Medicare to everyone, but maybe this will do for now. The idiotic Republicans have been fighting this program not because it is a bad idea. After all it is their idea. The problem is that it is coming out from a Black president and despite everything they say the right wingers are racists and they will not convince me otherwise. We have, with out a doubt the most racist bunch of people in the world right here in this country in the Republican Party.

Reply to  Bill Formby
10 years ago

I agree, Bill. I would respect them not a bit less if they were honest and just said, “I am outraged that a goddamned nigger is in the white house.”

Not that I could respect them any less.

10 years ago

I am confident that this spin oon the ACA by the Republicans is the first time in the entire history of the USA that any politician r political party has tried to influence things by distorting statements or predicting doom and gloom. Rrrrrriiiiiggghhhht! (Thanks, Bill Cosby. Whth that, we don’t need a sarcasm font)

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