Dean Baker: Democrats must stand up for Obamacare

Most people dont like to discuss their failures. The Democrats, however, seem unwilling to discuss their successes. This is the story of Obamacare.

For those who have forgotten, the Affordable Care Act was pushed through Congress almost entirely with Democratic votes. The Republicans objected, insisting the bill would destroy the health care system and the economy.

On the health care side, the Republicans issued dire warnings that the bill would lead to rationing of services, socialized medicine and death panels.

On the economics, they called the bill a massive job killer. It would deter businesses from hiring workers, and the workers they did hire would be part-time. Exploding health care costs would both break the budget and the economy. The deficit would explode, and insurance premiums would soar.

The widely predicted disaster did not happen.

In the data available so far, enrollment in the exchanges and Medicaid was higher than projected.

Over 8 million people enrolled in the exchanges through the first four months of 2014, far more than the 6 million that had been projected. Almost 5 million more benefited through the expansion of Medicaid. The percentage of people uninsured fell to the lowest level since 1997 in the first quarter of 2014 and is virtually certain to fall much farther as enrollment continues to rise.

Costs have been far lower than expected. The Congressional Budget Office has repeatedly lowered its cost projections for the ACA and health care more generally. The savings for Medicare alone are projected to be well over $1 trillion in the next decade.

Private health care costs have also risen at their slowest pace on record in the last five years, saving most families thousands of dollars on costs. All of the savings cannot be attributed to the ACA, but can anyone doubt that if cost growth had accelerated, the Republicans would blame the ACA regardless of the actual cause?

The story of the ACA as a job killer also doesnt hold water. No one can be happy about the current state of the labor market we still have a long way to go to recover from the collapse of the housing bubble but the weak economy cant be blamed on the ACA.

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Dean Baker: Democrats must stand up for Obamacare

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