My Take on King v. Burwell
In the past few months, I’ve been invited to speak several times on the Supreme Court’s decision in King v Burwell and its implications. My presentation focused on the extent to which this decision and the previous Supreme Court decisions on the Affordable Care Act have been the consequence of a “messy” reconciliation process that missed out on some of the typical legislative clean-up. This was surprising given that the ACA was the most significant legislation for the American healthcare system in a half-century. The larger point I highlighted as that, no matter where you stand on healthcare reform, the cost of the insurance exchange-subsidized patients are a drop in the bucket in comparison to the broader Medicaid expansion.