More Good News: Obamacare Has Not Overwhelmed the Health Care System

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


Obamacare has provided health insurance to millions of people who previously lacked it. And yet, doctors’ offices aren’t jammed, as some people feared. Sarah Kliff takes a look at why this is, and I think this is the key point:

Federal data released earlier this month shows that the uninsured rate has fallen 35 percent since the coverage expansion began in 2014….In that way, the health law’s insurance expansion was big. But put another way, it’s also small: 14 million people gaining coverage in a country of more than 300 million residents is kind of a drop in the bucket. We’re talking about 4 percent of the country going from uninsured to covered.

And it’s not just that. Of that 4 percent, a lot of them were healthy people who simply didn’t have much need for medical attention but were forced by the Obamacare mandate to purchase insurance anyway. So they got insurance, but since they were healthy, they still didn’t go in to see their new doctors much. In reality, I suspect that the number of new patients with real medical needs probably amounted to 2-3 percent of the population. That’s an extra burden on the health system, but not a huge one.

Medicare turned out to be similar when it began in 1965. As Kliff says, “In practice, these programs are relatively small: each only insured a small chunk of the population. Even though they’re remaking American health care, they’re doing so in a small, slow progression. That helps explain why none of these coverage expansions have overwhelmed doctors, despite our expectations.”

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