In the 2014 midterm elections, opposition to the Affordable Care Act — i.e., Obamacare — was a clear political winner. That’s obvious from the election results themselves but also from polling that consistently finds that far more of the electorate disapproves of the law than approves of it.

“The implementation of the Affordable Care Act seems like an unending nightmare. Desperate for some good news, the White House is justly relieved and celebrating the fact that the government website is not plagued with last year’s disasters.
But other big challenges loom, including the administration of the law’s hideously complex insurance subsidy system, as well as coverage and cost problems.”

“RICHMOND — Virginia Gov. Terry McAuliffe had run out of options to pull off his marquee campaign promise to expand Medicaid under the Affordable Care Act. Even a risky plan to circumvent the legislature had fallen apart.
That’s when the governor, his top priority defeated, picked up the phone and called the man he blamed for the catastrophe.
“Hey, Phil? Terry McAuliffe,” the governor said in a seething voice message to Phillip P. Puckett, a Southwest Virginia Democrat who had quit the state Senate days earlier, throwing control of it to the GOP. “I want you to know we just lost the vote, 20 to 19, in the Senate. Medicaid is done. I hope you sleep easy tonight, buddy.””

“WASHINGTON – A new video has surfaced showing economist Jonathan Gruber, who made controversial comments about how the Affordable Care Act was written, talking about states’ opposition to the Medicaid expansion in the law, and the role poverty may play in its success or failure.
“There’s larger principles at stake here,” Gruber said in the video, which appeared on the website Healthinsurance.org in April. “When these states are not just turning down covering the poor people, but turning down the federal stimulus that would come with that.
“They’re not just not interested in covering poor people, they’re willing to sacrifice billions of dollars in injections into their economy in order to punish poor people. I mean, it really is just almost awesome in its evilness.””

“With round two of Obamacare enrollment here, New York’s policymakers should take stock of where the Empire State is and where it’s heading.
Take the state’s Medicaid program. Post-Obamacare, Medicaid enrollment has grown by over 7 percent to 6.1 million people: nearly 1 in 3 New Yorkers now receive coverage through the joint federal-state insurance program for the poor. New York’s Medicaid spending, among the highest in the country, makes up about 30 percent of the state budget.”

“Any plan Gov. Pat McCrory’s administration presents for expanding Medicaid would have a tough time getting through the state legislature.
A key House member said Tuesday it would probably be premature to consider expanding Medicaid next year with the future of the federal health care law uncertain.”

“This hasn’t exactly been a banner week for Democrats, but especially so for Barack Obama. The Washington Post corrected him twice this week on claims made by the President’s denial of reality in his post-election press conference, the first time in a formal fact-check from Glenn Kessler. Obama tried arguing that the election results didn’t really reflect on ObamaCare despite the success of Republicans in defeating Democrats who supported it — or even those who refused to answer the question — because ObamaCare has reduced the costs of health care in every year since its passage. That assumes facts not in evidence in terms of causal relationship, Kessler notes, and isn’t true on the facts anyway:
In fact, despite the president’s claim of a decrease of every year, the White House’s own chart shows that the 2013 estimate represents a slight uptick from 2012, when adjusted for inflation and population. As the White House report puts it, “the three years since 2010 will have recorded the three slowest health-care spending growth rates since record keeping began in 1960.” That is impressive, but it is not the same as health costs going down “every single year” since the law was passed in 2010. …”

“Tuesday’s re-election of Republican governors in closely contested races in Florida, Georgia, Wisconsin, Maine and Kansas dims the chances of Medicaid expansion in those states.
Advocates hoping for Democratic victories in those states were disappointed by the outcomes, but Alaska, which also has a Republican incumbent, remains in play as an independent challenger holds a narrow lead going into a count of absentee ballots.”

“Tuesday’s re-election of Republican governors in closely contested races in Florida, Georgia, Wisconsin, Maine and Kansas dims the chances of Medicaid expansion in those states.
Advocates hoping for Democratic victories in those states were disappointed by the outcomes, but Alaska, which also has a Republican incumbent, remains in play as an independent challenger holds a narrow lead going into a count of absentee ballots.
“No one would say it was a good night for the prospects of Medicaid expansion,” said Joan Alker, executive director of the Center for Children and Families at Georgetown University.”