As we enter 2015, the politics of the president’s health care law are little changed from last year or the year before, or any year since it was passed. The details change with the calendar, but year after year, the law remains a major drag on President Obama’s popularity and legacy.

Defenders of the law commonly known as Obamacare continue to believe the law will eventually become popular and point to a growing number of people with insurance as proof the law is working. Sooner or later, they reason, those who receive insurance through the healthcare exchanges will express their gratitude in the voting booth..

By Jason D. Fodeman, MD
President Obama recently checked in to Walter Reed hospital with a sore throat. During his visit, it appears he received a suite of treatments to aid in diagnosing his illness, including a CT scan, a fiber optic exam, and ENT consultation. Ultimately, the doctors concluded that he has acid reflux.

As the leader of the free world, Obama certainly deserves top notch medical care. Yet the breadth and quality of medical care that he received starkly contrasts with the diminished care that too many Americans could soon receive thanks to the Affordable Care Act.
As a physician, I strive to give the best medical care to every patient who walks through the door. The ACA has the potential to undermine my ability to do this in a number of ways.

Obamacare has come to Harvard, and the faculty is in a state of shock and dismay.
In what has to be considered an early contender for the most hilarious and enjoyable news story of the year, the New York Times recounts the tumult over Obamacare in Cambridge.
“For years,” the Times writes, “Harvard’s experts on health economics and policy have advised presidents and Congress on how to provide health benefits to the nation at a reasonable cost. But those remedies will now be applied to the Harvard faculty, and the professors are in an uproar.”

By Chris Jacobs
We’ve seen few administrative controversies with Obamacare’s second open-enrollment season, but as a Wall Street Journal article noted last week, the start of the 2014 tax-filing season could bring a new wave of public discontent.
This tax-filing season brings the first enforcement of the Affordable Care Act’s individual mandate–the complexity of which could become a boon for tax-preparation firms. The instructions for completing the mandate exemption form run 12 pages, list 19 types of exemptions (with multiple codes), and include worksheets that may require individuals to go to their state exchange’s Web site to find the monthly premiums that will determine whether they had access to “affordable” coverage.

The outrage was swift and loud. Millions of people were feared to be in danger of losing their health insurance last year because their plans did not comply with the Affordable Care Act..

To keep people covered and quell consumer anger, President Barack Obama and many states allowed people to renew their old plans temporarily — including 73,000 in Maryland.

But that offer has expired and now people like Raymond Liu have been thrust onto health exchanges where they must purchase new plans. Many are finding higher premiums or less coverage, as they worried would happen.

By Megan McArdle: While I was away last week, Vermont decided to scuttle its single-payer health-care plans. I predicted as much six months ago, for one simple reason: A single-payer system would cost too much. When faced with the choice of imposing double-digit payroll taxes or dropping his cherished single-payer plan, the governor of Vermont blinked.

“But Megan!” I hear you cry. “Single-payer systems are cheaper, not more expensive! Look at Europe!”

Sarah Dutton, Jennifer De Pinto, Anthony Salvanto and Fred Backus: Fifty-two percent of Americans say they find basic medical care affordable, but that’s down from 61 percent last December. Today, for 46 percent of Americans, paying for medical care is a hardship, up 10 points.

Similarly, just over half of Americans are at least somewhat satisfied with their health care costs, while 43 percent are dissatisfied.

In November, voters across the country elected new Republican governors and legislators, many of whom campaigned heavily against Obamacare’s Medicaid expansion. Although some of these new leaders (including Governor-elect Asa Hutchinson in Arkansas) will be taking control of states that have opted into Obamacare expansion, there is new hope that these governors and state legislators will work to reduce government dependency and restore the working class.

One idea rapidly gaining currency among legislators and new governors’ transition teams is the possibility of renewing Medicaid expansion on a temporary basis for those who have already signed up, but immediately freezing enrollment going forward. This approach would stop the bleeding, but allow for a more gradual wind down of the program and allow enrollees to keep their plans until they increased their incomes, transitioning out of eligibility.

“The prices of some generic drugs have soared more than 1,000 percent in the last year, and federal officials are demanding that generic drug makers explain the reasons for the increases or potentially face new regulation.
The increased use of generic drugs has been one of the rare success stories in national efforts to curb the nation’s $2.8 trillion medical bill, since generics have historically been far cheaper than name-brand versions. More than eight in 10 prescriptions are filled with generic drugs, according to the Food and Drug Administration. In the 10-year period from the beginning of 2003 through 2012, generic drug use has generated more than $1.2 trillion in savings, according to the Generic Pharmaceutical Association.”

OBAMACARE DOESN’T AND CAN’T WORK. It is a rolling disaster that is wreaking havoc on the American economy and health care sector. Americans are experiencing first-hand the damage the law is doing. It is making their health
insurance more expensive, driving doctors out of practice, and undermining the goal of improved health care.
And the law doesn’t even come close to universal coverage—leaving at least 31 million uninsured, according to
estimates by the Congressional Budget Office.
So what should we do to fix the mess? Some conservatives want Republicans to rally around one bill to replace ObamaCare and then take that plan to the voters for the November elections. That approach, however, entails both
political and policy risks that can be mitigated with a different strategy.
Conservatives should focus first on laying out a vision of true competition and patient choice, gaining a mandate from voters to begin to pass ‘repeal and replace’ bills in the next session of Congress based upon the vision of providing people with access to quality, affordable, innovative health care.”