Obamacare Open Enrollment Ends This Weekend, But Millions Who Could Get Free Insurance Still Haven’t Signed Up

Donald Trump has slashed outreach efforts since becoming president.

Susan Walsh/AP

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Uninsured? You have three days to fix that.

The deadline for open enrollment in the Affordable Care Act marketplace is this Sunday, December 15. Nearly 5 million Americans who qualify for no-premium health insurance under the ACA have still not enrolled, a group of left-leaning health care advocates said during a press call Thursday. This is similar to the number of uninsured people eligible to purchase a no-premium bronze plan last year, according to the Kaiser Family Foundation, which estimates that a total of 16.7 million people who are eligible for Obamacare remain uninsured.

One of the main obstacles for getting people enrolled has been the the Trump administration’s decision to cut the ACA’s outreach budget by 90 percent, according to Jodi Ray, the director of Florida Covering Kids & Families, a program that helps sign individuals up for insurance.

Many people who are eligible for Obamacare live in marginalized communities, might not speak English as a first language, or might not have internet access, making it especially difficult to get the word out to them, Joshua Peck, co-founder of Get America Covered, said. “When people know about the ACA, they sign up for it,” he said. “When they don’t, they don’t.”

The officials stressed that increased competition among insurers has led to lower premiums and more plans for consumers to choose from, indicating that the market is stable despite pending litigation that threatens to undermine the program.

Andy Slavitt, the former acting administrator of the Center for Medicare and Medicaid Services under Barack Obama, stressed that marketplace plans are preferable to the “junk” short-term insurance plans introduced by the Trump administration. That’s because the plans on the marketplaces are required to offer comprehensive benefits in line with the ACA, including protection for people with preexisting conditions, mental health coverage, and maternity coverage.

Marketplace enrollment has been declining slightly since 2016, and while 2020 enrollment is expected to continue that trend, the exact number of enrollees remains to be seen.

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

If you can, please support the reporting you get from Mother Jones—that exists to make a difference, not a profit—with a donation of any amount today. We need more donations than normal to come in from this specific blurb to help close our funding gap before it gets any bigger.

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