The biggest lie that President Trump and other Republican leaders have been repeating about the Affordable Care Act for years is that it is collapsing, imploding or exploding. The truth is that the law is actually working reasonably well, and even the part that has shown the most weakness — the health insurance marketplaces — has been stabilizing.
Insurers that sell policies to individuals and families are doing better financially than in the first two years of the A.C.A. They are also doing better than they were before the federal and state governments opened the marketplaces in 2014, according to a Kaiser Family Foundation report published on Monday. The data showing improvement confirms earlier reports by Standard & Poor’s, the Congressional Budget Office and research groups that were based on 2016 numbers. While there are still problems in marketplaces in some states, the A.C.A., or Obamacare, is hardly coming undone.