Democrats paid a steep political price for the health care law after its enactment in March Republicans reclaimed the House that November before gaining control of the Senate in The GOP also deepened its majority in the House while claiming statehouses and legislatures across the country that year.
Senate Minority Leader Charles E. Americans were crying out for an end to the recession, for better wages and more jobs, not for changes in their health care. It was fairly early in when Democrats were citing the chance to defend the health care law as a reason to run for Congress.
In , Democrats took back the House on promises to protect guaranteed coverage for preexisting conditions, which became a flashpoint after the Trump administration began arguing in a high-profile lawsuit that those protections were unconstitutional and should end. Democrats are continuing to recite the message this year. Both parties hope to assume the mantle of addressing rising health care costs, a top priority for voters.
Ever since Democrats sought to emphasize their commitment to the law in , the party has debated how best to expand its reach. In congressional hearings and on the debate stage, Democrats have considered whether to expand the size and availability of the subsidies that help people afford insurance, or move beyond the law to establish a single-payer system. The political turmoil over the law may have led, at least in part, to the debate over Medicare for All, says Melinda Buntin, chair of the Department of Health Policy at Vanderbilt University.
John McDonough, a professor of the practice of public health at Harvard University, says the law has survived efforts to repeal it and hits from the judicial system, emerging from those threats with its signature components intact. Political forces are almost certain to sink any attempts at a single-payer system, and industry groups vigorously oppose more incremental updates like a public option.
Skip to Content. Caroline Corum holds medical receipts as she poses for a portrait outside of her home. Facebook Twitter Email Reddit. Never-ending debate Flash forward to , and those prophecies look increasingly prescient, even if the chances for wholesale overhaul in the short term remain thin. From left, Sens. Kirsten Gillibrand, D-N. This schism is turning Obamacare into another government benefit program for lower- and moderate-income Americans. The real problem is that health care is very expensive, Levitt said.
But most Americans don't realize the true cost because they are shielded by their employers. Related: Employers push health care costs onto workers. For the And more of the burden falls on the consumers.
That is leaving an untold number of Americans opting to remain uninsured, rather than shell out thousands a year for premiums and deductibles. Related: Obamacare: Sick - but not in death spiral. Take Irene Solesky of Towson, Maryland. The Commonwealth Fund. The Urban Institute. Centers for Medicare and Medicaid Services. Health Insurance. Your Privacy Rights. To change or withdraw your consent choices for Investopedia. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.
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