rgrenaderphoto wrote:
"Four years later, and after the Supreme Court ruled Obamacares Medicaid expansion unconstitutional,"
SCOTUS ruled that the individual mandate portion of the ACA was unconstitutional, not the entire law.
20 million plus Americans have insurance thanks to the ACA, 60% of the newly insured are 35 and under, and the uninsured rate, in the states courageous enough to participate, have dropped to the lowest in history.
A few random thoughts....
1) Yes, but the SCOTUS ruling was huge and will most likely have a severe impact on future ACA growth unless some definitive changes are made to the law.
2) Your implication that there are 20 million less uninsured in America due to the ACA is a canard. Almost all sources (and most admit the data is very hard to get & verify) put the number at somewhere between 5-9 million. A RAND survey results which found that fully 55% of the estimated 9.3 million reduction in the number of uninsured adults came from gains in employer-provided coverage (which, if true, has nothing to do with the ACA and many project may negatively affect total employer insured once the employer mandate kicks in).
3) Latest data by state shows that many of the projected subsidies will be much lower, perhaps even non-existent, once all the data is in. This will have a serious effect on the "invincibles" sector of the market.
4) More than 2 million people who got health insurance under President Barack Obama's reform law have data discrepancies that could jeopardize coverage for some, a government document shows. About 1 in 4 people who signed up have discrepancies, creating a huge paperwork jam for the feds and exposing some consumers to repayment demands, or possibly even loss of coverage, if they got too generous a subsidy.
5) A fairly large portion of the newly-minted "no longer uninsured" are insured by Medicare/Medicaid, not an ACA policy.
All in all, the ACA is doing better than the far right expected, less than the far left expected, has serious obstacles ahead including the recent SCOTUS ruling (see comment 5, above). Projecting inaccurate propaganda will not help anything.