Over at Vox (my favorite new site of 2014), Sarah Kliff has a great article pointing out the emerging and conflicting narratives of the Affordable Care Act. From a political perspective, the ACA seems like a train wreck. It continues to poll terribly, its backers have made some boneheaded remarks about American voters, and senior Democrats like Senator Chuck Schumer are now saying that it was a mistake to pass health care reform. This is not what the story of a successful law should look like.
And yet, the actual policies seem to be working. More Americans have health coverage than ever before. Health care costs are slowing at a remarkable rate. And during the current open enrollment period, over 750,000 individuals have already selected an ACA health plan.
The law continues to offer real benefits for millions of people, but this fact gets lost in the political echo chamber. As for second-guessing Democrats like Schumer, I suggest they take a running leap into a very shallow lake. If Democrats had done a better job of actually explaining how the ACA helps people, the conservative misinformation campaign might have been less successful. They could have also fought harder for a public option plan or, even better, Medicare for all. Instead, they spent an interminable amount of time trying to win conservative support that never materialized.
The ACA is certainly a flawed piece of legislation, but it is ultimately making life better for Americans. Rumors of its demise remain greatly exaggerated.