The controversy over the 2010 Affordable Care Act dominated Barack Obama’s presidency. The implementation of ObamaCare caused health insurance premiums to soar and nearly collapsed the market entirely. The Biden administration responded by flooding the system with expanded federal subsidies, which are set to expire at the end of 2025.
To stop premiums for older workers with pre-existing conditions from suddenly leaping by $10,000, Republicans will need to extend part of this additional funding. But in return, they should insist on reforms to allow healthy Americans to purchase better value insurance with their own money.
The Affordable Care Act required health insurers to cover individuals with pre-existing conditions at the same price as enrollees who signed up before they got sick. As a result, premiums more than doubled, millions of healthy enrollees dropped coverage and many insurers abandoned the market.
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Chris Pope is a senior fellow at the Manhattan Institute. Follow him on Twitter here.
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