The Affordable Care Act’s shortcomings are more obvious. So are its strengths.
for the millions losing income and jobs in the coming months, as the pandemic-stricken economy grinds to a halt.One reason the 2010 signing ceremony felt like such a milestone was history. Every Democratic president since Franklin D. Roosevelt had at least contemplated pursuing major health reforms. Most had failed and the most recent attempt, Bill Clinton’s, was still a fresh memory.
To expand insurance, they relied on Medicaid for the poor and a new marketplace of subsidized, regulated insurance for people buying coverage on their own ― while very deliberately leaving employer coverage largely untouched. “It was a puzzle that you had to do 535 times, because you were basically solving it for every member of the House and every member of the Senate,” Nancy-Ann DeParle, who ran the White House Office of Health Reform under Obama, told HuffPost in a recent interview.
The law’s tax credit subsidies were supposed to offset the higher prices, and millions got comprehensive insurance because of them. But the subsidies tapered off as income rose and cut out altogether at four times the poverty line, which today is about $100,000 a year for a family of four.
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