Americans’ Views on Health Insurance at the End of a Turbulent Year

Commonwealth Fund March 1, 2018
Sara R. Collins, Munira Z. Gunja, Michelle M. Doty, Herman K. Bhupal

Toplines

36% of Americans who have health coverage through the ACA’s marketplaces and 27% with Medicaid are pessimistic about keeping their coverage in the future; half point to recent federal actions

Most U.S. adults, regardless of political affiliation, believe all Americans should have the right to affordable health care

The Affordable Care Act’s 2018 open enrollment period came at the end of a turbulent year in health care. The Trump administration took several steps to weaken the ACA’s insurance marketplaces. Meanwhile, congressional Republicans engaged in a nine-month effort to repeal and replace the law’s coverage expansions and roll back Medicaid.

Nevertheless, 11.8 million people had selected plans through the marketplaces by the end of January, about 3.7 percent fewer than...

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