The best way to "fix" Obamacare? Do nothing.


Of course, that would require listening and patience, two things Trump isn't good at:

Over the past year, the Affordable Care Act’s marketplaces for individual health insurance purchases have been rocked by a series of bad stories. A lot of insurers have raised premiums, and a lot of insurers have decided to stop participating in the program, which encourages those that remain to raise premiums. The higher premiums mean that for a certain number of more affluent and relatively healthy consumers, it makes financial sense to simply pay the penalty rather than purchase insurance. Removing relatively health consumers from the marketplace, in turn, encourages higher premiums.  If that cycle were to simply continue unabated, the law really might implode. But CBO says that’s not what’s happening:
Under current law, most subsidized enrollees purchasing health insurance coverage in the nongroup market are largely insulated from increases in premiums because their out-of-pocket payments for premiums are based on a percentage of their income; the government pays the difference. The subsidies to purchase coverage combined with the penalties paid by uninsured people stemming from the individual mandate are anticipated to cause sufficient demand for insurance by people with low health care expenditures for the market to be stable.
Translating from wonk-ese, the subsidies offered to lower-income people under ACA are scaled both to income and to the local price of health insurance. Which means that for heavily subsidized customers, the higher premiums don’t drive people out of the marketplace. And there are enough young and healthy people who qualify for generous subsidies to ensure a stable long-term risk pool.  The ACA’s most enthusiastic proponents had higher aspirations for the marketplaces than that. But the point is that this is still a stable and workable outcome. There is no implosion that people need rescuing from.

You can read the rest at Vox.

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