Yes, Obamacare has raised premiums, caused people to lose their health coverage, raised taxes, and more. But on January 1, Obamacare started digging in for the long haul: putting down the deep roots of entitlement programs.
Entitlements—like the big three of Social Security, Medicare, and Medicaid—are the biggest causes of America’s spending and debt crisis. And Obamacare creates a new entitlement program while expanding another.
The creation of a new entitlement: Taxpayer-funded subsidies for millions of Americans
Obamacare created insurance exchanges to sell and subsidize government-approved health care plans. Most of those who attain coverage through the exchanges will have their costs partially subsidized by federal taxpayers.
By 2023, the Congressional Budget Office (CBO) projects that 24 million people will obtain coverage in the exchanges, 19 million of whom are expected to receive subsidies. CBO estimates that together, the subsidies will cost taxpayers nearly $1.1 trillion from 2014-2023.
Who can get a subsidy?
- Those earning between 100 percent and 400 percent of the federal poverty level ($11,490 to $45,960 for individuals and $23,550 to $94,200 for a family of four in 2013) will be eligible for premium subsidies that are applied on a sliding scale, with the lowest income receiving the highest premium subsidy.
- Those who purchase a silver plan in the exchange and earn between 100 percent and 250 percent of the federal poverty level are eligible for cost-sharing subsidies to help offset their out-of-pocket costs, in addition to the premium subsidy.