02 May 2017

Republican Dithering may indeed kill the ACA Exchanges

It is unbelievably frustrating, as TPM reports, that the sheer ineptitude and dithering of the Republicans is creating so much uncertainty in the ACA Exchange marketplace that it will likely turn into a self-fulfilling prophecy: the exchanges will fail for the same reason stock markets often crash. Which is artificially induced uncertainty about the future of the "rules." If they would just quit messing with a system that works more or less (since they clearly have no intention of making the PROGRESSIVE fixes it actually needs), it would probably work OK until we can get rid of them in the next round of elections. But that may well not happen. Thanks to the uncertainty as to whether the critical subsidies will still be there for the next few years, the ACA likely WILL enter a death spiral, but not because of inherent flaws; rather because the government is not reliable. Sheesh. Now, in all likelihood, when the time comes, we'll have to start all over. And create Medicare for All. Which is a good thing. But in the meantime, people will suffer and die. And the blame goes nearly 100% to Trump and the Republicans in Congress.

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