Obamacare’s Very Stable Genius

In Healthcare, Paul Krugman, Voting On
- Updated

Front pages continue, understandably, to be dominated by the roughly 130,000 scandals currently afflicting the Trump administration. But polls suggest that the reek of corruption, intense as it is, isn’t likely to dominate the midterm elections. The biggest issue on voters’ minds appears, instead, to be health care.

And you know what? Voters are right. If Republicans retain control of both houses of Congress, we can safely predict that they’ll make another try at repealing Obamacare, taking health insurance away from 25 million or 30 million Americans. Why? Because their attempts to sabotage the program keep falling short, and time is running out.

I’m not saying that sabotage has been a complete failure. The Trump administration has succeeded in driving insurance premiums sharply higher — and yes, I mean “succeeded,” because that was definitely the goal.

Enrollment on the Affordable Care Act’s insurance exchanges has also declined since 2016 — with almost all the decline taking place in Trump administration-run exchanges, rather than those run by states — and the overall number of Americans without health insurance, after declining dramatically under Obama, has risen again.

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