Reaction to Obamacare Good News

The CBO came out with one of their periodic reports on the Affordable Care Act (Obamacare).

Here is the headline of the report.

The ten year projected cost for the ACA has gone DOWN 11%.

The first reason for that cost reduction is that the cost of insurance premiums is rising at a lower rate than what was originally projected. As a result, the cost to subsidize insurance for those who can’t afford to pay the full amount on their own is going down.

The second reason is fewer people overall are signing up for insurance that includes government subsidies (Medicaid or subsidized private insurance). That’s because companies are not canceling healthcare coverage for their employees at the rate originally projected by the CBO. That reduction is about 3M people.

The net is that by 2025, there will be more people with insurance than the CBO originally projected, which is also good news.

cbo graph
There is some controversy on why healthcare costs are growing more slowly. The administration suggests that it is the result of cost saving provisions of the ACA. Conservative sources suggest that it is the result of a weak economy and have been predicting a bounce back as economic growth heats up again. The CBO commented on this in their report.

such a bounce back seems less likely in light of the further slowing of spending growth observed in the most recent data.

BTW, this report only focuses on the cost side of the leger. The agency discontinued their analysis of the budget impact of this particular bill. Instead they pointed to their normal comprehensive deficit reporting as a source for those looking more detailed information. They did, however, provide this guidance when they made their announcement last summer.

the agencies have no reason to think that their initial assessment that the ACA would reduce budget deficits was incorrect.

What is also reliable are the conflations by conservative media sources who refuse to acknowledge that the law is actually working.

Here’s a sample.

Forbes (a long time ACA opponent) chooses the headline “CBO Downgrades Obamacare’s Enrollment And Subsidy Projections” for this same news. Rather than focus on the big news which is the cost savings and the fact the corporations are not laying off employees because of the law, they suggest that the law is failing to meet the original projects that the CBO put in place. Rather than admit that slowing growth in premium costs is a good thing, Forbes says “Obamacare’s premiums: Much higher than before, but lower than CBO projections”. Then they go on to quote their own statistics from a conservative think tank rather than the CBO in order to support that claim. They finish up the article with a suggestion of how much better things would be if a different plan were in place.

The Washington Times is always good for a laugh. Their headline reads, “Obamacare exchange customers set for significant premium spikes, CBO predicts”. They go on to cherry pick the CBO report in an effort to make their case. But the CBO did not predict a spike in premiums. They predicted that premiums would rise SLOWER than what they had previously predicted.

So I guess we should not be surprised that those who choose to live inside the right wing news bubble will continue to insist that the law, as Jeb Bush recently described it, is a “monstrosity”.

Jeb’s plan is replace Obamacare with government-backed catastrophic coverage for those who experience a medical crisis. For everything else, folks should just pay out of their pocket. The challenge, of course, is that the best medicine and cheapest care is the preventive care that is practiced in the primary care physician’s office. The most expensive and least effective care is that practiced in the Emergency Room as the result of a medical crisis.

We’ll dig into Jeb’s plan in another post.

The bottom line is that this is more good news for the country. The ACA is working even better than originally envisioned. The predicted avalanche of layoffs as corporations come under the ACA requirements regarding insurance did not happen. The “spikes” in premiums did not happen. Premiums are going up at the lowest rate in recent history. And finally, the predicted explosion in federal deficits as a result of the subsidies included in the bill hasn’t happened. The projected costs of the bill are going down because healthcare is becoming more efficient under ACA rules.

The real tragedy of our current partisan political environment is that we can’t even welcome good news anymore. All news goes through the filter of whether or not it is good for your particular political tribe with precious little thought about what might be good for the country.

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