A plea to the president-elect Trump
Under the Affordable Care Act (ACA, or “Obamacare”) millions of Americans were able to buy commercial health insurance and millions more who were fortunate to live in states that elected to expand Medicaid were enrolled – sometimes for the first time in their lives – and gained access to subsidized healthcare. To be sure, the ACA was far from perfect: its haphazard implementation, the failure of the tax penalties to enforce mandated insurance purchasing amongst the young and healthy leading to skewed and potentially collapsing insurance markets, and the Supreme Court’s decision to vacate the requirement to increase the Medicaid rolls, all led to not enough people being covered and the return of inexorably rising healthcare costs.