This year’s presidential election is, in large part, a contest over what will become of it—meaning Obama will have more at stake on November 8 than anyone but the contenders themselves.
The program also hasn’t reduced the overall cost of medicine; health care inflation is slowing, but that trend predates Obamacare. And by increasing mandates and regulations, it actually made insurance more expensive in many states. The cost is masked with subsidies for some lower-income people, but not everyone, which is one reason sign-ups have lagged. A study by Wharton School economists concluded that nearly half of formerly uninsured people will face “both higher financial burden and lower estimated welfare.” The expansion of Medicaid is better than nothing, but according to reputable research, not by much.
Obama’s governance from the left has imposed a steep political price. Democrats got wiped out in the House in 2010, losing more than 60 seats, and were punished again in 2014. Republicans now have their biggest House majority since 1928, and they control some 60 percent of the governorships. It is impossible to say how many promising Democratic politicians had their careers snuffed out in the carnage.