Think You Can Do Better? The Obamacare Standard

Obamacare Standard

President Donald Trump and Congressional Republicans have vowed to end Obamacare and make U.S. health care better. That might make for a nice soundbite, but whether their approach will actually improve health care can be measured across a wide range of objective measures. Below, we lay out 20 areas where Obamacare achieved specific and quantifiable success. The question now is: will Republicans make these metrics better—or worse?

  1. 9 out of 10 working adults have health insurance.1
  2. 3 out of 4 working-age adults have no gaps in coverage over the course of a year.2
  3. 19 out of 20 children have health insurance.3
  4. No Americans are denied coverage due to pre-existing conditions such as pregnancy or cancer.4
  5. No American is dying or going bankrupt because they exhausted their health care coverage.5
  6. Employer-sponsored coverage has held steady.6
  7. 19 out of 20 older adults have health insurance.7
  8. 17 out of 20 young adults have health insurance.8
  9. 3 out of 4 adults living in poverty have health insurance.9
  10. 17 out of 20 Americans have complete preventive care coverage.10
  11. 17 out of 20 Americans have coverage for mental health and substance use at the same cost as physical health care.11
  12. 98 out of 100 women in a health plan have guaranteed coverage for birth.12
  13. Access to primary care through community health centers has increased steadily for the past five years, for a total increase of 25%.13
  14. The number of primary care providers has grown steadily for the past five years, for a total increase of 18%.14
  15. Hospitals have seen a steady decline in unpaid medical bills starting in 2012.15
  16. For 22 out of 25 working-age adults, cost is not a barrier to seeing a specialist.16
  17. 4 out of 5 working-age adults do not have trouble paying for medical care.17
  18. Health care inflation over the last six years has averaged one-half of 1%.18
  19. By 2020, no Medicare beneficiaries with a Part D plan will have a “doughnut” hole in their prescription drug coverage.19
  20. The ACA will reduce the deficit over the next 10 years by $137 billion under the most conservative estimate from the Congressional Budget Office.20

End Notes