The ACA Will Fail Until Medicaid Expands

Just as supporters of the Affordable Care Act were celebrating the news that the law’s new health insurance exchanges had enrolled 6 million Americans—below the initial 7 million target for the first year, but not shabby given the technical fiascos last fall—comes a reminder of how far we still have to go before the law comes close to achieving its purpose. Gallup has released the results of a 2013 survey asking Americans whether they “did not have enough money to pay for the healthcare and/or medicine they and their families needed.” The eye-opening results are, essentially, a final snapshot of the country before the Affordable Care Act went into effect—and a dispiriting reminder of why the law is, at least for the foreseeable future, going to fall so short of its aims.

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