Wednesday, January 22, 2014

Wow. McArdle Says O-Care Is Kaput

Do not take this lightly. 

Megan McArdle is arguably the most informed and intelligent writer analyzing ObamaCare today (competing with Avik Roy for that title) and she is no right-winger*.  And she says...it's kaput.
In a nutshell, Obamacare has so far fallen dramatically short of what was expected -- technically, and in almost every other way. Enrollment is below expectations: According to the data we have so far, more than half of the much-touted Medicaid expansion came from people who were already eligible before the health-care law passed, and this weekend, the Wall Street Journal reported that the overwhelming majority of people buying insurance through the exchanges seem to be folks who already had insurance. Coverage is less generous than many people expected, with narrower provider networks and higher deductibles. The promised $2,500 that the average family was told they could save on premiums has predictably failed to materialize. And of course, we now know that if you like your doctor and plan, there is no reason to think you can keep them. Which is one reason the law has not gotten any more popular since it passed.
The administration and its supporters have been counting on the coverage expansion to put Obamacare beyond repeal. So what if the coverage expansion is anemic, the plans bare-bones, the website sort of a disaster? It’s a foundation upon which we can build -- and now that so many people have coverage, the thinking goes, Republicans will never dare to touch it. The inevitable problems can be fixed down the road.
But it’s far from clear that this is true. The law is unpopular, not only with voters, but also apparently with the consumers who are supposed to buy insurance. The political forces that were supposed to guarantee its survival look weaker by the day. The Barack Obama administration is in emergency mode, pasting over political problems with administrative fixes of dubious legality, just to ensure the law’s bare survival -- which is now their incredibly low bar for “success.”
 Read the whole thing.

* In my opinion, she actually desires to sympathize with left wing policy but is reigned in from this by her hyper-analytical nature and deep background in economics and finance.  Translation:  She wants to like ObamaCare, but, alas, can't because it is an offense to logic and rationality and that is her stock in trade.

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