The Affordable Care Act — Mission Accomplished?

During the Democratic presidential debate, former Secretary of State Hillary Clinton mentioned that as president she would build on President Obama’s signature health care plan. The Affordable Care Act “is one of the greatest accomplishments of President Obama, of the Democratic Party, and of our country,” she added. I beg to differ.

First, the ACA didn’t reform the health care system. It just threw trillions of dollars at an already dysfunctional system. In the next 10 years alone, ACA spending will be at least $1.5 trillion.

To our already burdensome tax system, it also adds many new taxes, including an individual mandate excise tax, an employer mandate tax, a 3.8 percent surtax on investment income, an excise tax on comprehensive health insurance plans, a hike in Medicare payroll tax, a Medicine cabinet tax and many more.

The law’s subsidies — available to lower-income people to make the ACA plans more appealing — are also a huge drag on the economy, since they drop sharply as income increases. As such, it’s not surprising that the Congressional Budget Office projects the ACA will reduce work by an amount equal to two million full-time jobs and lower the nation’s economic output by half of 1 percent. However, University of Chicago economist Casey Mulligan thinks the negative effects of the ACA will be twice as large as the CBO projects.

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