Inside the White House with D.C.'s most wired reporter. Sign up for Mike Allen's Axios AM.


What the ACA really did to health insurance markets


This smart presentation from the NYT is getting a lot of attention because its conclusions about the individual health insurance market under the Affordable Care Act are so simple:

  • Claim: The ACA will increase competition and choices across the country (from supporters).
  • Reality: Nope.
  • Claim: The ACA is destroying health insurance markets across the country (from opponents).
  • Reality: Nope.

The bottom line: There are states that face real crises with insurers pulling out, like Iowa. But for the most part, the states that are having trouble keeping insurers never had a lot of competition to begin with. And the states with thriving insurance markets are mostly the same ones that had them before the ACA.

More stories loading.