Obamacare, long under attack by Republicans who knocked out key provisions like the individual mandate, did result in more people with health coverage. But many of those – especially in New Mexico – simply enrolled in government programs like Medicaid. And nothing was done to control the real issue: costs.
And so the long-term impact has been to squeeze health care providers by failing to adequately reimburse doctors and hospitals under Medicare and Medicaid – with those providers in turn increasingly squeezing the private health insurance market to make up for the deficits.
In fairness, this dynamic goes back to the mid-1990s.
But a piece by three Ph.D.s at the Johns Hopkins Bloomberg School of Public Health in a recent Journal of the American Medical Association explains how it’s exploded.