Boots & Sabers

The blogging will continue until morale improves...


Everything but tech support.

1006, 31 Jan 16

Obamacare Costing More, Performing Worse than Expected

I know… shocking.

Yesterday, in its budget and economic outlook for the next decade, the Congressional Budget Office (CBO) substantially changed its short-term Affordable Care Act (ACA) estimates in ways that show the law is performing far worse than expected. CBO’s new projection of 13 million exchange enrollees in 2016 is nearly 40% below previous expectations. CBO’s also projects that the average subsidy per enrollee in 2016 will increase by about 18% relative to its March 2015 ACA estimate—an indication that enrollees are both less healthy and poorer than the agency originally projected.

Additionally, the ACA’s Medicaid expansion is costing far more than projected because of higher enrollment and higher spending per enrollee. The costs of Medicaid expansion almost certainly exceed corresponding benefits given the findings of a recent study by MIT, Harvard, and Dartmouth economists that Medicaid expansion enrollees only receive about 20 to 40 cents of benefit for each dollar of program spending. Overall, CBO’s revision demonstrates that the ACA’s coverage expansion is primarily benefiting people earning less than 200% of the federal poverty level (FPL)—an income equal to $23,540 for a single person—while its costs, largely in the form of higher premiums and taxes and fewer health insurance choices, are widespread.


1006, 31 January 2016


  1. Kevin Scheunemann

    No surprise.

    It’s the liberal element that is shocked by this is what still shocks me.

    How dumb can you be about government managing an important segment of society.

  2. Northern Pike

    My take from reading this:

    The medically indigent are expensive. It’s cheaper to just let them go bankrupt or die.

  3. Kevin Scheunemann


    The “indigent” were covered by Medicaid before Obamacare.

    All we have done is forced more resources to bloated medical community. At what cost to other areas of economy?

  4. Northern Pike

    Not all “indigent” were covered by Medicaid. Many states had ridiculously low income levels to quality.

  5. Kevin Scheunemann

    Then why not just raise that threshold then the wholesale tossing of the industry into this expensive boondoggle?

Pin It on Pinterest