The Success Of Obamacare

 

Obamacare endured a grueling first decade of existence. Its launch was famously clunky. It was unpopular in its early years. It narrowly escaped repeal at both the Supreme Court and in Congress.

But the law — passed in 2010 and more formally known as the Affordable Care Act — has survived. It’s more than survived, in fact. It now stands as a monument to a particular theory of progressive lawmaking: When the federal government enacts a new benefit that makes life easier for millions of people, the program tends to endure. That describes universal high school, Social Security, Medicare, Medicaid and now Obamacare.

President Biden yesterday signed a package of executive actions on health care, and many experts described them as steps to undo Donald Trump’s attempted sabotage of the law. Which they are. But the modest scope of the actions is also a reminder of how little progress Trump made in undermining the law.

Consider this chart:

The New York Times | Source: United States Census Bureau, via Center on Budget and Policy Priorities

The number of Americans without health insurance did rise during the Trump presidency, because of his attempts to diminish the law. His administration did little to advertise Obamacare policies and weakened some of its provisions, like protections for people with certain medical conditions. But this increase in the number of uninsured reversed only a small portion of the decline caused by Obamacare.

Even after Trump, an additional 20 million or so Americans have health insurance today largely because of Obamacare. Others have better benefits — like maternity care and addiction treatment — or face lower costs.