The High Cost of Overturning the Individual Mandate

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Aaron Carroll is unimpressed by a Politico piece suggesting that getting rid of the hated individual mandate might take some of the steam out of opposition to the healthcare reform law:

Here’s what I think. Support for the law likely closely tracks support for a political party….I have yet to see any convincing data that show there’s a significant portion of America that loves the ACA, but hates the mandate. I see no politicians running on a platform of removing the mandate, but leaving the rest of the law intact. I see no reason to believe that dropping the mandate will do anything to increase support for the President, the Democrats, or the ACA.

Roger that. Opposition to ACA is as much down to cultural markers as it is to substantive objections to what the law does. On the other hand, I’m not sure the chart on the right makes quite the point Aaron implies. What it shows is that if the mandate is overturned, premiums will go up for everyone who does buy health insurance. In theory, that’s a point in favor of the mandate: it keeps average premium costs lower. In reality, it means that if the mandate is overturned, opponents will simply have one more rock to throw at ACA. They said premiums would be affordable, but look! They’re out of control! The only answer is to repeal the whole law.

Which is more or less what Aaron thinks opponents will say regardless of any actual facts or evidence. And he’s right.

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Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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