Professor Jonathon Gruber of M.I.T. has been at the center of a firestorm. Gruber is a highly respected health care economist who was instrumental in developing the Massachusetts (aka Romneycare) health care system and the Affordable Care Act (aka Obamacare).
ACA was so complicated and confusing no amount of transparency would have mattered.
Only to elected representatives. Or at least the elected Democrats. Or their staffs anyway.
According to former Speaker Nancy Pelosi, no. This seems credible. Not enough time.
A simple approach would have allowed direct targeted opposition. ACA is a cauldron of incentives, disincentives, and various sorts of social engineering. The bill is a giant lab experiment with many, many pieces and parts, a sort of Rube Goldberg health care machine.
Too early to tell, especially for medical providers and employers. The phase-in was designed to take many years, has been rocky and is now behind schedule.
Do the Republicans have a better plan?
No, the GOP has no policies that could be called a “plan.”