Yes, Of Course People on Obamacare Are Getting Lots of Medical Care

For indispensable reporting on the coronavirus crisis, the election, and more, subscribe to the Mother Jones Daily newsletter.


Jordan Weissmann writes this today:

One of Tom Price’s go-to criticisms of the Affordable Care Act is that it does not, in fact, provide people much in the way of care. The law has helped many Americans obtain insurance, sure. But because the policies have such high deductibles, he argues, patients still can’t afford medical help. “People have coverage, but they don’t have care,” the Health and Human Services secretary likes to say.

We can all agree that high deductibles are a problem. Weissman, however, describes a new study which shows that actual medical care, not just insurance coverage, has increased under Obamacare. This is true of both people covered by the Medicaid expansion and people covered by the exchanges.

But did we really need a lot of fancy statistics to figure this out? Focusing only on the exchanges (since Medicaid has no deductibles):

  • CBO estimates that total federal subsidies this year will amount to $31 billion.
  • Add another third or so paid out of pocket, and we get to $40 billion in total premiums paid to insurance companies.
  • Insurance companies are required to spend 80 percent of premiums on actual medical care, which comes to $32 billion.
  • Finally, the exchanges cover about 10 million people, which means the average Obamacare recipient will receive about $3,200 in medical care this year.

My arithmetic might be off a bit here and there, but not by a lot. One way or another, the average person insured through the Obamacare exchanges receives $3-4,000 in medical care. There’s no way around that.

High deductibles may be a problem, but they aren’t preventing people from getting a pretty considerable amount of medical care that they weren’t getting before. Where do Republicans get this stuff, anyway?

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate