Excepts from the article. A counterpoint to Trumps FOX Noise and the Republicans claims Obamacare failed.
The idea of a well-functioning Affordable Care Act marketplace runs counter to the narrative of Obamacare as a “failed” program that is “imploding” ― a narrative that Republican leaders like President Donald Trump and House Speaker Paul Ryan (R-Wis.) have promoted relentlessly and used to justify their efforts at repeal. The narrative has stuck, in part, because of real and serious problems in the newly reformed markets of many states.
In Arizona, North Carolina and Tennessee, just to name a few, insurers have jacked up premiums or withdrawn altogether because they haven’t attracted enough young and healthy customers. Last month, two Iowa insurers announced they would no longer offer their plans there, leaving just one insurer in most of the state. That insurer, Medica, has warned it may have to pull up stakes, too. If that happens, and if no public or private insurer provides an alternative, then tens of thousands of Iowans who buy coverage on their own would have no way to get comprehensive health benefits.
But one reason for those struggles is a combination of neglect and, especially under Trump, outright sabotage from Republican leaders at the state and federal level. California, by contrast, has public- and private-sector leaders committed to program success. Over the past few years, they have made some key policy decisions, offering valuable lessons to any policymaker sincerely interested in making the Affordable Care Act work in more states. But Republicans won’t even acknowledge what’s happening in California ― let alone learn from it.