Federalist columnist puts Obamacare numbers in perspective

Consider Ben Domenech less-than-impressed by the latest health insurance enrollment numbers linked to the Affordable Care Act. He explains why in a column for The Federalist.

All the 7 million number the White House will be touting for months to come really achieves is an end to the “website is broken” storyline which began unexpectedly last fall. Opponents of the law, who had expected all the other disruptions that Obamacare spawned (the substance story of people losing their plans, losing access to their doctors, the broad disruption to employers and employees), were given an additional process story in the broken exchange and bungled launch and collapsing state exchanges. That latter storyline overwhelmed people in both parties – it was such a public faceplant that it made things seem even worse. But it was also a story that was destined to end eventually – indeed, it’s surprising it lasted for a full six months! – and it has largely ended due to all the exemptions, waivers, loopholes, and extensions the Obama Administration has slapped all over this launch process, like using bumper stickers to hold a jalopy together.

This is why talk of the 7 million figure as salvation from supporters of the law is completely bonkers: all you did was meet your lowered policy expectations. In 2014, it is clear that Republicans intend to run against Obamacare: it is a hot button issue for their base, it is perfectly designed to turn their voters out in a base election, and they don’t even need to coalesce around a specific legislative alternative in order to get those votes (rather, they can continue to let a dozen different options sprout here and there). If the odds play out as they currently appear, this positioning will allow them to take the U.S. Senate. …

… The reason the number of people signed up for Obamacare – via the exchanges or Medicaid – matters is that it is, unexpectedly, a much smaller number than originally anticipated. This is in part due to the failure of the approach, and in part due to failure of execution. What is truly surprising is the degree to which the previously uninsured have not signed up for either program.

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