By the time you read this the population of the USA will be 325,000,000. The number of Americans enrolled in a Obamacare marketplace plan is about 11,100,000. That means that 3.38% of all Americans are directly affected by Obamacare, its premiums and subsidies, etc. Another eleven million or so have benefited from the expansion of Medicaid for the poor.
There are some tweaks for those of us on Medicare and for private and employer-sponsored; mostly coverage mandates affecting the insured, administration, taxes and fees for plan sponsors plus additional rules and regulations for providers.
The focus, however, is on the marketplace premiums, out-of-pocket costs, premium subsidies and the fact insurers are losing money and dropping out because of adverse selection.
But the fact remains we are talking about 3.38% of the US population that is directly affected at this point.
Is fixing Obamacare that big of a deal as opposed to replacing it? Why can’t it be fixed? Trump says he wants to keep the guaranteed coverage for those with pre-existing conditions. Duh‼️ If you keep that, you keep adverse selection unless you do as Medicare does and impose a penalty for late enrollment. They don’t understand health care or health insurance.
If you repeal it, you create chaos for eleven million people, you stress the health care system, you assure another eleven million on Medicaid are again without coverage. If you kill this or that provision, you create more problems.
There are ways to fix it, but believing you can simply repeal the law immediately is outright foolish. Any replacement will take years to build and at this point there is no viable replacement, especially the health savings account approach. Instead of simply wasting untold billions by starting over, a thoroughly thought out plan to fix what’s broken is necessary.
Those on the right who demand nothing less that full and immediate repeal of Obamacare are naive, shortsighted and playing into the hands of the Bernie Sanders of the world.