3 ms·
If the ACA was so successful at reducing coats we wouldn't still be having discussions like this about the excessive costs of both care and insurance in the US.
by _heimdall 2mo ago
If the ACA was so successful at reducing coats we wouldn't still be having discussions like this about the excessive costs of both care and insurance in the US.
We will never know how costs would have changed if we didn't implement the ACA, and cost is not the only metric of success. But it clearly hasn't led us to a place where people feel okay with what the industry costs.
- dmschulman 2mo agoThe purpose of the ACA was to get more people to sign up for health insurance by creating plans everyone could access regardless of employment status or income. Solving the healthcare crisis in this country from top to bottom is going to take more than an act of Congress. Also necessary to remember the ACA was only passed because of Democratic support in 2010. Republicans hacked away at the proposal before it became law, kneecapping any real institutional changes it had contained, and have effectively killed it since becoming the majority in the House and Senate in 2024. That bipartisan support piece is required in order for anything meaningful to happen.
- _heimdall 2mo agoMaking healthcare more affordable was literally in the name. I agree they also aimed to expand coverage, but cost reduction as a top line item and my point was simply that it didn't land that goal. At a minimum since we don't know what prices would be today without the ACA, prices have risen dramatically in recent years to a point that I think most agree its unaffordable.