I've been following the ACA's fortunes over the years, and have a few thoughts:
* The Individual Mandate (which requires that everyone carry health insurance) is about to be rescinded by Republicans (as part of their tax overhaul package). This reminds me of an indulgent grandparent, when babysitting grandkids, declaring that no vegetables need be eaten. Even the kids know something isn't right.
* If the Republican tax contraption chugs on up the hill, as seems likely, and the ACA's insurance markets for 2019 come off the rails (without premiums from the young and lucky, the old and unlucky will find theirs unaffordable--if insurers are even offering policies), this will begin to be felt by the general public just as voters are making up their minds in the 2018 midterms.
* And getting back to that indulgent 'no-vegetables' policy: the thrust of the Trump tax boondoggle can be thought of us an unbalanced meal with the $1.5 trillion in additional debt being the equivalent of a dieter telling himself that if he indulges his poor dining choices even more, then he'll really have to get serious about his diet. So, the more junk food, the better!
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