If you are looking at the states who are fighting it tooth-and-nail, it is not working as well.” “If you look at the states who are implementing it the way I thought it would be implemented, it’s working just like I predicted. “It’s not working quite as well as I predicted because I did not predict the political opposition,” he said. In return, the ACA mandates-with a few exceptions-that all Americans purchase coverage.ĭespite expanding coverage, Gruber believes the law could be doing better. Thirty-three states opted-out of the ACA Medicaid expansion, largely funded by the federal government.
Other provisions to expand coverage prevent insurers from dropping a patient due to a pre-existing condition, and allow children to stay on their parent’s plan until age 26.
“I think the best summary statistic of the success of the law is how many people gain health insurance coverage,” Gruber says. Since 2013, 7.3 million Americans have gained private insurance through ACA marketplaces, while an additional 8.7 million have received coverage through Medicaid. In addition, to get even more people covered, the ACA expanded Medicaid, government-driven health insurance for the poor. Gruber, whose has been mostly silent since controversial comments of his resurfaced a few months ago, spoke candidly about the law’s outcomes to date.Ī key part of the ACA was forming online ‘marketplaces,’ easy-to-use websites where consumers can shop for health insurance plans For those unable to afford health insurance, the ACA provides subsidies. Recently, many members of Congress, especially on the political right, have blasted the law for raising costs and restricting choice. Since its implementation, the ACA has been under intense political controversy.
The law took effect in 2013 with several goals-to expand health insurance coverage, to improve the quality of care and to lower costs. Gruber was hired to conduct economic modeling for the Affordable Care Act (ACA), the biggest reform of the health care system since the 1960s, and one of the President’s signature actions.
Gator News Editor Samuel Ravina ’17 sat down recently with Jonathan Gruber, an MIT health economist, and key consultant for the Obama administration. To that end, The Gator has started a series of interviews with prominent leaders in public policy, academics, and the business community. The Brimmer and May School emphasizes the values of good citizenship.
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