The number of uninsured Americans has fallen by about 25 percent this year, or about eight million to 11 million people.
At least as many people have enrolled in Medicaid, the government health care program for lower-income people, as have signed up for private insurance through the new online marketplaces.
Several million more are expected to sign up in the coming year, but the total number of uninsured is projected to remain around 30 million for years to come.
Whether the uninsured population is further reduced significantly will depend in part on whether more states opt to expand Medicaid. So far, 23 states have declined to do so.
But it’s not perfect, but it looks like the republicans can’t improve it or come up with someting that would work better.
The ACA will be a huge boon to tens of millions of Americans, but there are still flaws. The act does not require employers to pay a big enough share of employee health premiums, or to provide comprehensive coverage; thus, it has the potential to force employees of low-wage firms to pay more than they can afford for lousy health insurance. In addition, the subsidies to purchase coverage are not enough to make it affordable to some middle-income families. As a result, such families will be faced with paying more than they can afford for coverage or remaining uninsured—and sometimes having to pay a penalty. Fixes will require overcoming two big political challenges in coming years: standing up to the business lobby and increasing federal spending. But the failure to do so is likely to provoke a backlash from the people who are harmed.