The High Cost of Overturning the Individual Mandate

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Aaron Carroll is unimpressed by a Politico piece suggesting that getting rid of the hated individual mandate might take some of the steam out of opposition to the healthcare reform law:

Here’s what I think. Support for the law likely closely tracks support for a political party….I have yet to see any convincing data that show there’s a significant portion of America that loves the ACA, but hates the mandate. I see no politicians running on a platform of removing the mandate, but leaving the rest of the law intact. I see no reason to believe that dropping the mandate will do anything to increase support for the President, the Democrats, or the ACA.

Roger that. Opposition to ACA is as much down to cultural markers as it is to substantive objections to what the law does. On the other hand, I’m not sure the chart on the right makes quite the point Aaron implies. What it shows is that if the mandate is overturned, premiums will go up for everyone who does buy health insurance. In theory, that’s a point in favor of the mandate: it keeps average premium costs lower. In reality, it means that if the mandate is overturned, opponents will simply have one more rock to throw at ACA. They said premiums would be affordable, but look! They’re out of control! The only answer is to repeal the whole law.

Which is more or less what Aaron thinks opponents will say regardless of any actual facts or evidence. And he’s right.

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THE BIG PICTURE

You expect the big picture, and it's our job at Mother Jones to give it to you. And right now, so many of the troubles we face are the making not of a virus, but of the quest for profit, political or economic (and not just from the man in the White House who could have offered leadership and comfort but instead gave us bleach).

In "News Is Just Like Waste Management," we unpack what the coronavirus crisis has meant for journalism, including Mother Jones’, and how we can rise to the challenge. If you're able to, this is a critical moment to support our nonprofit journalism with a donation: We've scoured our budget and made the cuts we can without impairing our mission, and we hope to raise $400,000 from our community of online readers to help keep our big reporting projects going because this extraordinary pandemic-plus-election year is no time to pull back.

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