Yes, the ACA failed to actually lower costs from where they were when the ACA was implemented.
But this is an inherently flawed criticism. Let me explain.
The ACA is not the entirety of the American healthcare system. It is one law, which affected part of the overall system, primarily focused on the minority of people not covered by employer plans. Further, it was not actually implemented in itâs entirety, with the GOP consistently fighting against itâs implementation.
So, for this reason, you cannot lay the blame for the entire state of the healthcare system at the feet of the ACA. You canât say, âthese costs are too high, and itâs the fault of the ACA!â
The only reasonable analysis is to compare the costs under the ACA to the trend of costs prior to itâs implementation. And that shows that the ACA did in fact lower costs compared to not implementing it.
This is not to say that the ACA is a perfect system. I do not believe that even itâs most staunch advocates would say so.
The problem with literally every GOP attempt to repeal and replace the ACA, is that all CBO projections for those plans showed major INCREASES in cost and premiums over the ACA. Likewise, the attacks on it that we have already seen on it from the Trump administration intentionally destabilize the insurance markets and are causing premiums to rise. The insurance companies themselves have given this as the cause. Finally, the removal of the individual mandate also contributed to increased premium costs, because it removed a critical supporting pillar of the system (young, healthy people paying into the system).
So simply saying âit costs too muchâ is pointless. It serves no useful purpose. Itâs a statement of the obvious. Americans have, for decades now, paid far FAR more for our healthcare than every other nation in the world, while not receiving objectively better medical outcomes. That is the problem.
But what plan do you have to improve things?