The High Cost of Overturning the Individual Mandate

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Aaron Carroll is unimpressed by a Politico piece suggesting that getting rid of the hated individual mandate might take some of the steam out of opposition to the healthcare reform law:

Here’s what I think. Support for the law likely closely tracks support for a political party….I have yet to see any convincing data that show there’s a significant portion of America that loves the ACA, but hates the mandate. I see no politicians running on a platform of removing the mandate, but leaving the rest of the law intact. I see no reason to believe that dropping the mandate will do anything to increase support for the President, the Democrats, or the ACA.

Roger that. Opposition to ACA is as much down to cultural markers as it is to substantive objections to what the law does. On the other hand, I’m not sure the chart on the right makes quite the point Aaron implies. What it shows is that if the mandate is overturned, premiums will go up for everyone who does buy health insurance. In theory, that’s a point in favor of the mandate: it keeps average premium costs lower. In reality, it means that if the mandate is overturned, opponents will simply have one more rock to throw at ACA. They said premiums would be affordable, but look! They’re out of control! The only answer is to repeal the whole law.

Which is more or less what Aaron thinks opponents will say regardless of any actual facts or evidence. And he’s right.

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And the truth is, going into the final 4 days of the year we still needed to raise $TK to hit our $350,000 goal and start 2021 on track. It's nerve-wracking, wondering if the big spike we normally see at the end of December is going to be another thing that doesn't go as planned in 2020, or worse, if, now that Donald Trump is set to leave the White House (for longer than a taxpayer-funded golf trip to a property he owns), folks might be pulling back from fighting for the truth and a democracy and think the hard work is done.

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