So Far Mixed Results in the ACA Goal of Boosting Competition

By: Tuesday March 18, 2014 8:18 am

One of the big stated reasons for the Affordable Care Act was to increase competition in the individual market since many markets are dominated by just one or two insurers, but so far early indications are a mixed bag. The Kaiser Family Foundation looked at seven states with their own exchanges which have put out [...]

One Month In, the ACA Is Still Unpopular

By: Thursday January 30, 2014 7:50 am

The Affordable Care Act has now been in place, in full, for a month. Real people are getting insurance through the system giving Americans a chance to really judge it. So far though, the news is not good for Democrats. The Kaiser Family Foundation tracking poll found the law’s popularity hasn’t improved at all during [...]

Divorce Your Cancer-Stricken Wife: Obamacare’s Two Marriage Penalties

By: Wednesday January 22, 2014 10:07 am

In my ongoing series about the flaws in the Affordable Care Act one of the most morally and emotionally upsetting is the law’s two marriage penalties. Hopefully though, given that Republicans now apparently are all about promoting marriage to reduce income inequality this is a design flaw that might have a chance of getting addressed [...]

Target to Push Part-Time Workers Onto ACA Exchanges

By: Wednesday January 22, 2014 7:01 am

Target is the latest big company that is going to drop coverage for some of its worker and encourage them to instead buy their own government-subsidized coverage on the Affordable Care Act exchanges. From Bloomberg: Target Corp. (TGT) said it will end health insurance for part-time employees, joining Trader Joe’s Co., Home Depot Inc. and [...]

Uninsured Still View Negatively

By: Friday January 3, 2014 11:51 am

The federal insurance exchange is now working much better than it was two months ago but the improvements in performance have produced only small increase in its ratings among the uninsured. In November 63 percent of the uninsured said their experience with was negative. In December that number only dropped to 59 percent. From [...]

Opposition to Obamacare Grows

By: Monday December 23, 2013 6:55 am

The Affordable Care Act has hit another low according to one pollster. Opposition to the ACA is the highest it has ever been in the three years CNN/ORC has been polling about it. By an almost 2-1 margin people now oppose the law. According to the poll 62 percent of voters oppose the 2010 health [...]

Would All State-Based Exchanges Have Been Just as Problematic?

By: Thursday December 12, 2013 10:42 am

While’s first two months were a disaster, the federal exchange’s performance was about average when compared to all states that tried to created their own. I find this chart from Kevin Drum at Mother Jones comparing how well the exchanges have done at enrollment fascinating. (Red is state-based, blue is federal) First, it proves [...]

The Three Types of Problems With the Affordable Care Act

By: Monday December 9, 2013 8:34 am

When talking about issues with the Affordable Care Act it’s important to remember its problems fall into three basic categories: Implementation, Design, and Foundational. Most of the currently focus has been on implementation problems. Agencies not doing the job they were supposed to do. These include a broken website or not getting information to the [...]

People With Obamacare Will Still Go Broke

By: Thursday December 5, 2013 10:54 am

President Obama promise “if you like your insurance you can keep it” has generated a lot of attention lately, but long-term the failure of an even more oft-repeated promise will be more important. Obama has frequently implied using the Affordable Care Act will stop people from going broke if they get sick, even though this [...]

Reluctant Acceptance, Not Popularity, May Be Obamacare’s Best Hope

By: Thursday December 5, 2013 7:21 am

Now that the federal exchange is functioning less terribly it seems supporters of the Affordable Care Act are again trying to convince themselves popularity is just around the corner. While I could be wrong I simply can’t see the law every becoming truly popular. The simple fact is the law was unpopular while it was [...]