Obamacare has cleared a second major hurdle at the Supreme Court — but its troubles are far from over.
law is still highly unpopular, and significant structural issues
remain: Health insurance rates are rising, many people don’t have as
much choice of doctors and hospitals as they’d like, some states
continue to struggle with their exchanges, and 21 states still haven’t
backed Medicaid expansion.
So while President Barack Obama can point to a two-time victory at the
high court and the law’s historic increase of health coverage, his foes —
including the Republicans jockeying for the 2016 ticket — can recite an
alternative story. The fact that both realities are true — a red story
that paints a grim picture and a blue version that has a much brighter
hue — will make it hard to move on.
The biggest obstacle the Affordable Care Act faces is political: Republicans say the court’s ruling Thursday in King v. Burwell
has done nothing to change their fundamental opposition to the law. But
there are other substantive problems in implementing the law.
of the states that decided to set up an exchange are dealing with
ongoing technological problems or financial difficulties, especially now
that they can’t get federal grants. (Continues at POLITICO)