Americans learned yesterday that the Affordable Care Act has extended health care coverage to 16.4 million people
, slashing the nation's uninsured rate by over a third, against the backdrop of related system-wide good news
. This puts "Obamacare" critics in an unenviable position: trying to characterize a law that's working as a horrible failure, all evidence to the contrary notwithstanding.
Sen. John Barrasso (R-Wyo.), who's struggled
in this area before despite being the Senate GOP's point person on health care, gave it his best shot. "Millions of people have lost coverage they liked," the far-right senator told
the New York Times
, repeating a dubious claim unsupported by the evidence
. He added that extending coverage to millions through Medicaid expansion is "hardly worth celebrating."
He didn't say why, exactly, he finds it discouraging when low-income families receive coverage through Medicaid.
But the funnier reaction came by way of a Wall Street Journal piece
Edmund Haislmaier, senior fellow at the Heritage Foundation, a conservative research group, said the report also doesn't include essential information on how many people who signed up on exchanges were previously uninsured. "It's premature to say it's ACA-related," Mr. Haislmaier said. The number of uninsured historically also has been closely aligned with the economy, with numbers rising during recessions and falling as conditions improve.
The economic argument is itself politically tricky for ACA detractors, because it leaves Republicans in a position of arguing, "Let's not credit Obama's health care policies for the good news; let's instead credit Obama's economic policies."
But it's the Heritage Foundation's other argument that's truly amazing. The Affordable Care Act was created in large part to expand Americans' access to affordable medical care. Once the law was implemented, its provisions worked like a charm and uninsured rate dropped. If the Wall Street Journal quoted Edmund Haislmaier fairly, the Heritage argument seems to be that the success might just be a coincidence -- the ACA set out to reduce the uninsured rate, the law was implemented, and the uninsured rate fell at its fastest rate in four decades, but it's "premature" to say the progress and the law are related.
Right, I mean, who can really say? Yes, there has been a sudden and extremely sharp plunge in the uninsured rates among the populations eligible for coverage under Obamacare that begins at the exact time Obamacare took effect: But that could be anything. Survey error. People being excited about Republicans winning the midterm. Sunspots. You never know. Probably not the sudden availability of a major new federal health-care law enrolling millions of people.
Perish the thought.
For context, it's worth noting that the Heritage Foundation used to be one of the leading conservative think tanks in the nation, even sketching out a health-care-reform blueprint several years ago that resembles the "Obamacare" model now. In recent years, however, Heritage's focus has shifted away from scholarship and towards political activism.