Why did the health care debate in this year’s election campaign pivot so quickly from the Affordable Care Act to Medicare? It may well be because of this: While people still feel strongly about ACA, they don’t really see it as relevant to them. But Paul Ryan made Medicare relevant to everyone when he proposed changing the program for the under-55 population. Some new data from the U.S. Census Bureau may explain why most people don’t see ACA as relevant to them. We learned this month that the number and percentage of people without health insurance changed modestly in the year after ACA passed. The number of uninsured people went from 50 million to 48.6 million. The percentage of uninsured decreased from 16.3 percent to 15.7 percent. These changes were small, as were some others. The percentage of people with employer-based insurance decreased slightly, from 45.7% in 2010 to 45.1% in 2011, and the percentage of people who purchase privat...
An occasional column focusing on federal, state, and local health policy