Big promises. Big problems. The Affordable Care Act's rocky rollout has exposed deep fault lines in American health care that go beyond malfunctioning website code. From basic questions of coverage to complex federal court cases, many aspects of the sweeping reform remain unsettled. What's gone wrong? Can it be fixed? And where do we go from here? AEI scholars are following the latest developments, offering candid analysis and original research.
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Obamacare, the program, has been operating in violation of Obamacare, the law. That's what the U.S. Court of Appeals in Washington ruled this morning: The Affordable Care Act authorizes federal authorities to offer tax credits to defray the cost of health insurance bought on exchanges -- but only if those exchanges were established by state governments.
In his 2008 convention speech, Barack Obama declared that as president he would clean up the mess created by “the failed presidency of George W. Bush.” Now many Americans say he has done a worse job in office than the man he replaced.
The success of Obamacare always rested on getting enough “young invincibles” to enroll on the exchanges.
For months, there have been assertions that the mechanisms embedded in Obamacare, designed to offset losses that insurance companies will take this year on their exchange business, amount to a bailout of the insurance industry.
Americans who sign up for insurance under the Affordable Care Act are finding many ofthese plans offer very narrow options when it comes to their choice of doctors and drugs.