As
usual...n practical terms, implementation of the health law (along with changes that happen over time no matter what the government does) mean that the system-that-was just is no more. Insurance plans have been cancelled, and new ones initiated. People have shifted coverage. Businesses have made new plans with ACA implementation in mind. That includes hospitals and doctors, and the rest of the health care industry.
No one is ever going to kick young adults off their parents’ insurance (or change the law so that insurance companies are allowed to do it). No one is going to bring back the various limitations in pre-ACA insurance policies. Some trimming of the new Medicaid rolls might be possible. But no one — no politician who has to face reelection, at least - is going to just toss all those people off their insurance with nothing to replace it.
Beyond all this is simply the Humpty Dumpty-ness of the situation: The old system has been slowly pushed off the wall for three years now, and by this point it’s really beyond repair, whatever the merits or politics of the situation.
