Enrollment is down sharply on the federal health insurance marketplace this fall, and the consumer assistance groups that help with sign-ups think they know why.
They don’t have the staff to help as many customers as before because the Trump administration slashed funding. The federal government is spending $10 million this year on navigators who help individuals enroll in coverage. The government spent $36 million in 2017 and $63 million in 2016.
After five years you would think Americans would have made their decisions or at least know the drill and it would not be unreasonable to expect the money necessary to provide enrollment should decline, although perhaps not so dramatically.
One can only speculate that the failure of Obamacare to deliver on its affordability promise may be a significant factor … along with unreasonable expectations of what affordable means.