In the wealthiest country in the world, one in four people say they have delayed treatment for a serious medical condition because of the cost.
US health spending still leads the world by far, driven by the highest prices anywhere on the globe.
Premiums and out-of-pocket costs for the 150 million Americans who get insurance through work continue to rise. Tens of millions of Americans still lack insurance and many millions more have an insurance card but not benefits that would actually provide financial security in the event of a dire diagnosis or emergency. Early evidence indicates people are living longer and they are less at risk of going bankrupt over medical bills because of coverage expansion.Īnd yet, the project remains unfinished. The uninsured rate is near its historic low. The fight isn’t over.īut at the end of the decade, millions more Americans have health insurance now than they did at the beginning of it. The administration has sought to implement Medicaid work requirements to trim the number of people covered by Medicaid expansion and taken numerous other steps to undermine the ACA’s private insurance markets.Īnd today, right now, the Trump administration and Republican-led states are still trying to get Obamacare overturned by the courts. The law’s financing for health insurers has been blocked by congressional Republicans and Trump. Medicaid expansion was undercut by the Supreme Court by making it optional for states, a decision that has left more than 2 million people in poverty without coverage. Obamacare has been hobbled along the way. That belief is reflected most directly in the strong support for the ACA’s ban on insurers denying coverage based on preexisting conditions, which nearly 75 percent of people now say should be maintained. As the Affordable Care Act’s approval with the public slowly started to improve, public opinion on something else was changing in parallel: Americans had broadly come to believe (again, after a significant dip when the law first passed) the government had a responsibility to make sure everybody had health coverage. The repeal fight would consume Trump’s first year in the White House.īut Republicans couldn’t overcome a basic change in US health care politics. Republicans finally had a chance to deliver on their promise to repeal and replace the health care law they hated so much. Then came the 2016 election of Donald Trump. Another SCOTUS case in 2015 left the law intact, once again thanks to Roberts. The botched rollout of in 2014 might have damaged its reputation and provided catnip for critics, but eventually the marketplaces were up and running. In 2012, it overcame its first existential threat at the Supreme Court, when Chief Justice John Roberts found a rationale for upholding the individual mandate and with it the rest of the law. The 2010 midterms were disastrous for Democrats, but the law would persist. Still, the law passed, thanks to the legislative chicanery by then-Senate Majority Leader Harry Reid and once and future Speaker of the House Nancy Pelosi, and was signed by President Obama in early 2010. Ted Kennedy (D-MA) and the election of Republican Scott Brown to replace him, breaking the Democratic supermajority. And the debate about how best to provide affordable health care to every American is as vital as it’s ever been.Īfter the Senate vote 60-39 on December 24, 2009, the first of the law’s many trials soon followed: the death of Sen. There have been plenty of bumps along the way. It ends with the country having moved closer to that goal than ever, but still falling short. The 2010s began with the United States taking its most significant steps toward universal health coverage in a generation. Ten years ago on Christmas Eve, the Senate passed its version of Obamacare.
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