Congress based the Affordable Care Act reform in 2010 on a model that made a couple of key assumptions about employment. The White House projected rosy growth that would lead to job creation; and this rapid expansion would take place prior to Obamacare’s implementation, reducing the temporary costs of safety-net programs, including Medicaid.
The new employer mandate would then ensure that new and existing full-time workers would not require subsidies to purchase individual health-care plans in new state-based insurance exchanges, keeping costs and new tax revenue balanced to keep the ACA from becoming a deficit driver in its first decade.
Neither of these assumptions has panned out for President Obama and his health care plan
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