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Universal coverage reforms in the USA: From Obamacare through Trump
Thomas Rice1, Lynn Y Unruh2, Ewout van Ginneken3
1UCLA Fielding School of Public Health, 650 S. Charles Young Drive, Los Angeles, CA 90095-1772, USA.
Health Policy (Amsterdam, Netherlands)
|May 29, 2018
Summary
The Affordable Care Act (ACA) reduced the uninsured rate, but recent policy changes, including the individual mandate repeal, are expected to increase the number of uninsured Americans. Future legislation and elections will significantly impact healthcare coverage.
Area of Science:
- Health Policy
- Public Health
- Healthcare Economics
Background:
- The Affordable Care Act (ACA) significantly reduced the uninsured rate among Americans under 65.
- Political shifts following the 2016 election stalled momentum towards universal healthcare coverage.
- Efforts to fully repeal the ACA failed, leading to alternative policy changes.
Purpose of the Study:
- To analyze the impact of recent policy changes on health insurance coverage in the United States.
- To examine the consequences of repealing the ACA's individual mandate and administrative actions.
- To assess the future outlook for healthcare coverage and the number of uninsured individuals.
Main Methods:
- Analysis of legislative actions, including the repeal of the individual mandate.
- Review of administrative actions by the Trump administration affecting health insurance exchanges.
- Examination of proposed policy changes and their potential effects on insurance premiums and comprehensiveness.
Main Results:
- The ACA nearly halved the percentage of uninsured individuals under 65.
- Repeal of the individual mandate and administrative changes are projected to increase insurance premiums.
- Proposed flexibility for states may lead to less comprehensive and cheaper insurance policies.
- The number of uninsured individuals is expected to grow in the near future.
Conclusions:
- Recent policy changes have created a volatile environment for healthcare coverage in the US.
- The repeal of the individual mandate and administrative actions are likely to increase the uninsured population.
- Future healthcare policy and election outcomes will critically determine the trajectory of health insurance coverage.
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