Washington Post Editorial Board: “the Affordable Care Act was never actually affordable”

You have to make it to paragraph 7, but, this is one hell of an admission

The shutdown conversation no one wants

As the partial government shutdown enters its second week, neither party is leveling with the American people about the hard choices required to get federal spending off a fiscally ruinous trajectory.

President Joe Biden and congressional Democrats used covid-19 to justify chasing the mirage of a European-style welfare state without raising the necessary taxes to pay for it. Now, prodded by the left, party leaders have shut down the government in a bid to permanently extend what was sold in 2021 as emergency subsidies to help people struggling during the pandemic afford health insurance.

And now they do not want to cut a dime, even back to pre-COVID levels which were too high

Yet Democrats have demanded that Republicans agree to extend the covid-era insurance subsidies without proposing any way to pay for it. The Congressional Budget Office estimates this will cost $350 billion over the next decade. These temporary benefits were included in the American Rescue Plan of March 2021 and extended the next year in the misnamed Inflation Reduction Act until the end of 2025.

The real problem is that the Affordable Care Act was never actually affordable. President Barack Obama’s signature achievement allowed people to buy insurance on marketplaces with subsidies based on their income. The architects of the program assumed that risk pools would be bigger than they turned out to be. As a result, policies cost more than expected.

It was never meant to be affordable. And, those risk pools tended to be pretty damned big. From the get-go it was expensive for deductibles and premiums, often offset by Other People. Remember this gem from 2013?

But people with no pre-existing conditions like Vinson, a 60-year-old retired teacher, and Waschura, a 52-year-old self-employed engineer, are making up the difference.

“I was laughing at Boehner — until the mail came today,” Waschura said, referring to House Speaker John Boehner, who is leading the Republican charge to defund Obamacare.

“I really don’t like the Republican tactics, but at least now I can understand why they are so pissed about this. When you take $10,000 out of my family’s pocket each year, that’s otherwise disposable income or retirement savings that will not be going into our local economy.”

“Of course, I want people to have health care,” Vinson said. “I just didn’t realize I would be the one who was going to pay for it personally.”

Ocare was always meant as a waypoint towards Single Payer, hoping to drive the insurance companies out of business, but, what happened was that deductibles, premiums, and the cost of service went up, because, hey, if the government is going to pay for it, why not charge more? That’s how you get $500 hammers, instead of going to Lowe’s and buying a good one for $50.

Anyhow

This is how entitlement programs work. Once you habituate people to some generous government handout, they grow dependent on it. And it becomes politically perilous, if not impossible, to fully claw it back. Conservatives fought so hard to stop Obamacare 15 years ago because they anticipated fights like this one.

But, someone is paying for that handout. Let’s not forget that Ocare was so great that Democrats excluded Congress from participating

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4 Responses to “Washington Post Editorial Board: “the Affordable Care Act was never actually affordable””

  1. Elwood P. Dowd says:

    Unlike residents in every other industrialized nation on Earth, Americans pay about DOUBLE what others pay for healthcare!!! How can that be? Is our healthcare twice as good as that of Australia, Belgium, Canada, Denmark, England, Finland, Germany etc? No!! How do they do it? Non-profit, single payer!

    The ACA is as affordable as the One Big Beautiful Bill Act is beautiful, LOL.

    America is circling the drain, thanks to Fat Donnie and his devotees.

    • Dana says:

      Our fantasizing pharmacist wrote:

      Is our healthcare twice as good as that of Australia, Belgium, Canada, Denmark, England, Finland, Germany etc? No!!

      Actually, yes, it is! Go to any of the countries he listed, and getting health care is hurry up and wait, because they lack the facilities to get to you quickly, the way our system in America works. Health care might be ‘free’ over there — though you have to pay for it in much higher taxes — but it is dragged out and delayed, and patients have to suffer through the time lags.

      It’s been several years, but I remember a report on it taking six months to get an MRI in Canada, while, at the same time, a business in Philadelphia was advertising for people to come in for a baseline MRI, so it would be available for physicians should the patients ever develop a serious problem, and their doctors could compare it with the baseline. Canada was short on MRI machines, while we had so many in the US that they were being advertised to drum up more business!

      You think that’s an old anecdote? On December 12, 2024, the Fraser Institute reported:

      * In 2024, physicians across Canada reported a median wait time of 30.0 weeks between a referral from a GP and receipt of treatment. Up from 27.7 in 2023.
      * This is 222% longer than the 9.3 week wait Canadian patients could expect in 1993.
      Ontario reported the shortest total wait (23.6 weeks), followed by Quebec (28.9 weeks) and British Columbia (29.5 weeks).
      * Patients waited longest in Prince Edward Island (77.4 weeks), New Brunswick (69.4 weeks) and Newfoundland and Labrador (43.2 weeks).
      * Patients waited the longest for Orthopaedic Surgery (57.5 weeks) and Neurosurgery (46.2 weeks).
      By contrast, patients faced shorter waits for Radiation Oncology (4.5 weeks) and Medical Oncology (4.7 weeks).
      * The national 30 week total wait is comprised of two segments. Referral by a GP to consultation with a specialist: 15.0 weeks. Consultation with a specialist to receipt of treatment: 15.0 weeks.
      More than 1900 responses were received across 12 specialties and 10 provinces.
      * After seeing a specialist, Canadian patients waited 6.3 weeks longer than what physicians consider to be clinically reasonable (8.6 weeks).
      * Across 10 provinces, the study estimated that patients in Canada were waiting for 1.5 million procedures in 2024.
      * Patients also suffered considerable delays for diagnostic technology: 8.1 weeks for CT scans, 16.2 weeks for MRI scans, and 5.2 weeks for Ultrasound.

      Ultrasound? Our hospitals have portable ultrasound machines and do them at the bedside. MRI? The last time my physician thought I needed an MRI, she first ordered a KUB, a cheaper procedure due to insurance reasons, and it was performed that day. After having the KUB read, she said an MRI was needed, and that was performed the very next day, at the very small local hospital in our relatively poor Appalachian foothills county.

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