Taxpayers bore the brunt of Trump’s ACA changes

Photo: Jabin Botsford/The Washington Post via Getty Images

The Centers for Medicare & Medicaid Services released its final report yesterday on the Affordable Care Act’s most recent enrollment period, and at first blush, it might look like the Trump administration has barely changed anything. After all, about the same number of people signed up this year (11.8 million) as last year (12.2 million).

Yes, but: Look a little closer, and it’s clear that the ACA is working a lot differently.