More than six years after the ACA’s passage, these promises can be measured against reality.
- It turns out that while the percentage of individuals without insurance has declined, enrollment in the exchanges is far below projections;
- exchange enrollees are much older and poorer than expected;
- competition in the individual market has decreased, rather than increased;
- rather than falling, premiums have increased significantly in both the individual and employer-sponsored markets;
- the law’s Medicaid expansion, which is responsible for the vast majority of rate decline in uninsured Americans, came at a far higher cost than expected;
- the law has increased, rather than decreased, overall healthcare spending; and
- the ACA has negatively affected economic growth, despite promises to the contrary.