The Patient Protection and Affordable Care Act—often dubbed “Obamacare”—will cost Americans $1.2 trillion from 2012 to 2022 according to the Congressional Budget Office. These projections do not account for the additional costs to state governments or the higher costs for private health insurance.
The Affordable Care Act requires states to expand eligibility for Medicaid (government health insurance for the poor and disabled) up to 138% of the federal poverty line.
Newly eligible Pennsylvania Medicaid recipients would cost taxpayers more than $21 billion from 2014 to 2022 according to the Heritage Foundation. While federal tax dollars would cover the majority of this cost, state taxpayers’ costs would range from $1.3 to $5.5 billion.
Government programs provide limited access to care and low-quality coverage.
- Currently, one-third of Medicaid providers will not take new patients, according to a study published
in the journal Health Affairs.
- Pennsylvania’s aging population, which depends on Medicare, will experience lower quality care as
the ACA cuts Medicare Advantage and reduces doctor payments, which are already less than private insurance payments.
- Medicaid recipients have more difficulty accessing specialty care.
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The Commonwealth Foundation is Pennsylvania's free-market think tank. The Commonwealth Foundation transforms free-market ideas into public policies so all Pennsylvanians can flourish.