Obamacare
Commentary
ACA’s Patient Choice Boondoggle Not Aging Well
In an interview prior to the recent official opening of his presidential library, former President Barack Obama was asked to name his greatest accomplishment. The first thing that came to mind was the Affordable Care Act (ACA). As he put it, “For all the resistance from our political opposition, the ...
Sally C. Pipes
July 10, 2026
Commentary
The Real Lesson Of America’s Rising Uninsured Rate
The number of uninsured Americans ticked upward to 26.7 million in 2024, according to an analysis published this month by KFF. The report’s authors attribute that trend to the “high cost of private insurance and limited availability of public coverage.” Unpack the numbers, though, and the situation becomes more complicated. ...
Sally C. Pipes
June 29, 2026
Commentary
Declining Obamacare enrollment isn’t the crisis critics claim
Enrollment in Obamacare’s exchange is falling, according to a new analysis from the Commonwealth Fund. The study suggests that the expiration of the enhanced premium subsidies enacted during the pandemic has made coverage unaffordable for many Americans. Some consumers undoubtedly have decided that exchange plans are no longer worth the ...
Sally C. Pipes
June 22, 2026
Commentary
Obamacare’s Enrollment Figures Deserve A Closer Look
Enrollment on the Obamacare exchanges is falling for the first time in years. The exchanges launched on January 1, 2014—nearly four years after President Obama signed the Affordable Care Act into law on March 23, 2010. A new analysis from KFF estimates that the number of people enrolled in an ...
Sally C. Pipes
June 15, 2026
Commentary
Read the latest from Sally Pipes on Obamacare
Mark Cuban Is Right About ‘Big Medicine,’ but Wrong About the Cure
He’s hardly alone. Sen. Elizabeth Warren, D-Mass., and Rep. Alexandria Ocasio-Cortez, D-N.Y., among others, are targeting vertically integrated healthcare giants as drivers of rising costs and declining competition. They’re right about one thing — “big medicine” is real. But the healthcare giants they now condemn are, in large part, creatures ...
Sally C. Pipes
May 27, 2026
Commentary
Read the latest from Sally Pipes on government-run health care
Democrats’ latest healthcare fantasy would mean longer waits
First came Obamacare. Now, some on the Left are trying to take the next step toward socialized medicine — “free” primary care for all. A new report from the Searchlight Institute, authored by several architects of the Affordable Care Act, urges Democratic policymakers to guarantee primary care with no out-of-pocket ...
Sally C. Pipes
May 26, 2026
Commentary
Democrats Didn’t Discover The Insurance Crisis. They Created It
Sen. Ron Wyden, D-Ore., recently invited his colleagues to begin a new conversation about reforming the health insurance industry. It’s a conversation worth having. Health insurers have grown bigger, more powerful and more deeply embedded in our healthcare system than ever before—to the detriment of patients and taxpayers alike. But ...
Sally C. Pipes
April 22, 2026
Commentary
Obamacare Crushed Choice. This Reform Helps Restore It
Every fall, millions of Americans log onto the Affordable Care Act’s exchanges hoping to find a health plan that fits their needs. This year, roughly 23 million people have signed up through the marketplaces. Many are discovering that their options all look more or less the same—expensive and ill-suited to ...
Sally C. Pipes
April 20, 2026
Blog
Healthcare Reform Should Take Aim at Hidden Prices
Effective healthcare reform should address the persistent problem of a system that hides prices, shields middlemen like pharmacy benefit managers and insurers from accountability, and leaves patients with little real leverage. Reforms can lower healthcare costs by increasing transparency, expanding competition, and reducing the influence of middlemen whose practices operate ...
Anthony Velasquez
February 3, 2026
Commentary
Enhanced Obamacare subsidies are gone. They deserve to stay that way
House Ways and Means Committee Chairman Jason Smith (R-MO) took to the chamber’s floor last week to voice his opposition to legislation that would extend the pandemic-era enhanced premium subsidies for Obamacare plans for three years. Unfortunately, his wise counsel fell on deaf ears, as all Democrats and 17 Republicans ...
Sally C. Pipes
January 20, 2026
ACA’s Patient Choice Boondoggle Not Aging Well
In an interview prior to the recent official opening of his presidential library, former President Barack Obama was asked to name his greatest accomplishment. The first thing that came to mind was the Affordable Care Act (ACA). As he put it, “For all the resistance from our political opposition, the ...
The Real Lesson Of America’s Rising Uninsured Rate
The number of uninsured Americans ticked upward to 26.7 million in 2024, according to an analysis published this month by KFF. The report’s authors attribute that trend to the “high cost of private insurance and limited availability of public coverage.” Unpack the numbers, though, and the situation becomes more complicated. ...
Declining Obamacare enrollment isn’t the crisis critics claim
Enrollment in Obamacare’s exchange is falling, according to a new analysis from the Commonwealth Fund. The study suggests that the expiration of the enhanced premium subsidies enacted during the pandemic has made coverage unaffordable for many Americans. Some consumers undoubtedly have decided that exchange plans are no longer worth the ...
Obamacare’s Enrollment Figures Deserve A Closer Look
Enrollment on the Obamacare exchanges is falling for the first time in years. The exchanges launched on January 1, 2014—nearly four years after President Obama signed the Affordable Care Act into law on March 23, 2010. A new analysis from KFF estimates that the number of people enrolled in an ...
Read the latest from Sally Pipes on Obamacare
Mark Cuban Is Right About ‘Big Medicine,’ but Wrong About the Cure
He’s hardly alone. Sen. Elizabeth Warren, D-Mass., and Rep. Alexandria Ocasio-Cortez, D-N.Y., among others, are targeting vertically integrated healthcare giants as drivers of rising costs and declining competition. They’re right about one thing — “big medicine” is real. But the healthcare giants they now condemn are, in large part, creatures ...
Read the latest from Sally Pipes on government-run health care
Democrats’ latest healthcare fantasy would mean longer waits
First came Obamacare. Now, some on the Left are trying to take the next step toward socialized medicine — “free” primary care for all. A new report from the Searchlight Institute, authored by several architects of the Affordable Care Act, urges Democratic policymakers to guarantee primary care with no out-of-pocket ...
Democrats Didn’t Discover The Insurance Crisis. They Created It
Sen. Ron Wyden, D-Ore., recently invited his colleagues to begin a new conversation about reforming the health insurance industry. It’s a conversation worth having. Health insurers have grown bigger, more powerful and more deeply embedded in our healthcare system than ever before—to the detriment of patients and taxpayers alike. But ...
Obamacare Crushed Choice. This Reform Helps Restore It
Every fall, millions of Americans log onto the Affordable Care Act’s exchanges hoping to find a health plan that fits their needs. This year, roughly 23 million people have signed up through the marketplaces. Many are discovering that their options all look more or less the same—expensive and ill-suited to ...
Healthcare Reform Should Take Aim at Hidden Prices
Effective healthcare reform should address the persistent problem of a system that hides prices, shields middlemen like pharmacy benefit managers and insurers from accountability, and leaves patients with little real leverage. Reforms can lower healthcare costs by increasing transparency, expanding competition, and reducing the influence of middlemen whose practices operate ...
Enhanced Obamacare subsidies are gone. They deserve to stay that way
House Ways and Means Committee Chairman Jason Smith (R-MO) took to the chamber’s floor last week to voice his opposition to legislation that would extend the pandemic-era enhanced premium subsidies for Obamacare plans for three years. Unfortunately, his wise counsel fell on deaf ears, as all Democrats and 17 Republicans ...