here's an executive summary of a report on the ACA by Paragon health institute:
The Affordable Care Act (ACA
1) was jammed through Congress in 2010 with several enticing promises. Fourteen years later, we look back at the very different real-world results:
- At least a dozen significant promises were broken.
- The ACA was supposed to “bend the cost curve” downward, but health care costs increased instead. Premiums for individual market plans doubled.
- Although touted as a means of reducing the deficit, the ACA has added hundreds of billions to cumulative deficits and is a significant contributor to the growing national debt.
- The most famous broken promise was that people would not lose preferred insurance plans and doctors. Seven million consumers had their plans canceled already by the end of 2013.
- Medicaid was supposed to be the cheaper way of expanding insurance coverage. In the real world, the per enrollee cost of Medicaid expansion is nearly 60 percent greater than what experts projected.
This report provides details on these and eight other broken promises regarding life expectancy, emergency room usage, enrollment of unauthorized immigrants, and more.
| Promises | Results |
|---|
| The ACA would help cut the deficit, including its student loan provisions. | The ACA has significantly added to the federal debt, including costly student loan losses. |
| The ACA would “bend the cost curve,” saving $2,500 per family. | Individual market premiums nearly doubled from 2013 to 2017. The primary ACA provision for bending the curve, the “Cadillac tax,” never went into effect. |
| The ACA would save lives. | Life expectancy fell three consecutive years for the first time in nearly 100 years. |
| The ACA would be a program only for U.S. citizens. | By 2024, many unauthorized immigrants would be enrolled in subsidized ACA plans. |
| The ACA would take the stress out of shopping for health insurance. | The ACA portal was one of the most notoriously unreliable websites ever launched. |
| Penalties on employers that fail to provide coverage would provide massive revenue. | Actual collections are less than 5 percent of what was projected. |
| The ACA would increase economic growth. | The ACA resulted in smaller businesses, fewer full-time jobs, and significant disincentives to work. |
| Medicaid would be an efficient way to increase coverage. | The ACA’s Medicaid expansion is far more expensive than projected. |
| If you liked your plan and doctor, you would be able to keep them. | Millions of people had their plans canceled and lost access to their doctors. |
| The individual market would become a competitive, robust marketplace. | Enrollment was less than half of expectations, with higher premiums and deductibles and more restrictive provider networks than expected through 2020. |
| The ACA would decrease emergency department use as newly insured individuals would finally have a normal place of care. | The ACA, particularly Medicaid expansion, caused emergency room use to soar, particularly for non-emergency services. |
| The ACA would end abuses by health insurance companies. | The ACA has been a gift for health insurers with its massive government subsidies. |
I'm not saying through out the ACA..just the opposite. After 15 years of experience, we know the problems. Some have difficult fixes, but not attempting to fix All the problems just perpetuates healthcare problems for the American people.
And I don't know a thing about Paragon Health Institute, but likely more right than left. This is the executive summary, you can read the entire report at their website I guess