The Congressional Budget Office has evaluated the Obamacare repeal passed by Congress last year to determine what would happen if the same bill was used again. The aim was to predict "the changes in coverage or premiums that would result from leaving the market reforms in place while repealing the mandate penalties and subsidies." In other words, repeal without substantive replacement. The results are grim.
- The number of people who are uninsured would increase by 18 million in the first new plan year following enactment of the bill. Later, after the elimination of the ACA’s expansion of Medicaid eligibility and of subsidies for insurance purchased through the ACA marketplaces, that number would increase to 27 million, and then to 32 million in 2026.
- Premiums in the nongroup market (for individual policies purchased through the marketplaces or directly from insurers) would increase by 20 percent to 25 percent—relative to projections under current law—in the first new plan year following enactment. The increase would reach about 50 percent in the year following the elimination of the Medicaid expansion and the marketplace subsidies, and premiums would about double by 2026.
To which one Republican answered:
Because we say so—which is magic and makes it happen. A spokesperson for House Speaker Paul Ryan responded similarly.
“This projection is meaningless, as it takes into account no measures to replace the law nor actions that the incoming administration will take to revitalize the individual market that has been decimated by Obamacare,” Ryan said.
Which is a point, but not a good one. The CBO has nothing else to evaluate, since this is the only thing Republicans have actually achieved legislatively on Obamacare. In six years, they haven’t been able to come up with a plan. Show CBO your plan, Speaker Ryan, and they’ll score it. Show us the plan.