ACA Agonistes
Big Insurer Flees Obamacare

America’s biggest health insurance company can no longer afford the Affordable Care Act. The Fiscal Times reports:

The Affordable Care Act suffered another jolt late last week with the news that UnitedHealth Group, the nation’s largest health insurer, was making good on its threat to pull out of Obamacare, beginning with its operations in Georgia and Arkansas.

UnitedHealth roiled the market last November when it revealed that it was considering exiting Obamacare after incurring hundreds of millions of dollars in losses related to ACA business.

As the FT notes, UnitedHealth’s decision does not come as a surprise (we wrote about the company’s ACA woes last year), and—unless other big insurers follow suit—it doesn’t herald the imminent collapse of the law. But the fact that even major insurers like UnitedHealth are hemorrhaging cash on the Obamacare exchanges highlights the fact that for all the ACA’s technocratic tinkering, it did not and will not fix the fundamental problem facing the U.S. healthcare system: That it’s too expensive, and that costs are growing too quickly.

The architects of the ACA took aim at access, rather than affordability, achieving a coverage expansion mostly by putting more Americans on the Medicaid rolls. They left the underlying issues plaguing the healthcare system in place (and in many cases exacerbated them), so middle class families are still seeing a growing share of their paychecks consumed by rising premiums and deductibles. And they failed to realize that in the long run, affordability is access, and that attacking the factors that inflate the cost of healthcare in the private market should be a higher priority than expanding subsidies. The departure of UnitedHealth from the exchanges is a devastating illustration of Obamacare’s failure to bring down costs, and clear evidence that, no matter what the White House says, the debate over health reform isn’t going away.

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