...the C.B.O. is hardly alone in its negative assessments of Republican health care plans. In fact, just about every group with knowledge of the issue has reached similar conclusions. In a joint letter, the two major insurance industry trade groups blasted the Cruz provision as “simply unworkable.” The American Academy of Actuaries says basically
the same thing. AARP has
condemned the bill, as has the
American Medical Association.
Third, contrary to White House disinformation, the C.B.O. actually did a pretty good job of predicting the effects of the Affordable Care Act, especially when you bear in mind that the act was a leap into the unknown: We had very little experience of how an A.C.A.-type system would work.
True, the C.B.O. overestimated the number of people who would buy insurance on the exchanges the act created; but that was partly because it overestimated the number of employers who would drop coverage and send their workers to those exchanges. Overall gains in coverage have been reasonably well in line with what the C.B.O. projected — especially in states that expanded Medicaid and did their best to make the law work.