Fri 11 11 2016 3 45pm ever since trump s stunning electoral college victory on tuesday there s been a lot of hand wringing including by myself about the republican party finally getting to actually make good on their obsessive desire to kill off the affordable care act.
3 legged stool aca.
Some people are crediting me with creating the 3 legged stool metaphor which simply isn t the case.
The affordable care act represents the most significant transformation of our health insurance market in more than 40 years.
Together these three elements of the aca formed the statute s three legged stool to ensure that insurance pools are not imbalanced with a disproportionate number of older sicker people who would cause premiums to skyrocket.
So the affordable care act went for incrementalism the so called three legged stool.
It starts by requiring that insurers offer the same plans at the same prices to everyone regardless of.
The three legged stool of health reform.
That credit goes to i believe mit economics professor jonathan gruber who came up with the metaphor back in 2006 while helping develop mitt romney s romneycare model for massachusetts which was the basis for the aca s exchange model for the individual insurance.
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One of the law s key.
My full explainer of the aca s 3 legged stool and the individual mandate.
With premium tax credit subsidies at stake in the king v.
They included regulations to make it easier for people with pre existing conditions to acquire insurance measures to draw in healthy people to keep rates from skyrocketing and subsidies to help those for whom coverage.
In the pending supreme court case king v.
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Burwell case our video explainer shows how the aca relies on three key provisions to provide affordable health coverage to all and what.
Social security employee pensions and.