Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

Despite the facts, America has convinced itself Obamacare is a disaster

(The White House)

Most Americans don’t think Obamacare hit its enrollment target, a new Kaiser Family Foundation poll finds.

Nearly six in 10 Americans (57 percent) said the law fell "short of expectations" on sign-ups. About a third thought that the law had either met or that it exceeded sign-up expectations. (The second option, by the way, is the right answer: 8 million people signed up for private coverage on the exchanges after budget forecasters had projected 7 million.)

Obamacare2

This is an especially bizarre finding when you look at another question in the same poll of the same people.

Researchers asked participants how many people signed up for coverage. Forty-three percent of them thought that 8 million people signed up for private insurance coverage during open enrollment. Another 9 percent think that 13 million signed up.

8_million

In other words: a slight majority of Americans either accurately estimate or overestimate enrollment. This means there’s some universe of people who think Obamacare hit 8 million enrollees — and also think it fell short of sign-up goals.

“It wasn’t so much about knowing the number,” says Liz Hamel, who directs the Kaiser Family Foundation’s survey research. “It was whether that number registered as a success or not.”

Political views influence estimates of success

Obamacare_targets

Hamel says people who identified as Democrats were much more likely to estimate that Obamacare had met its enrollment target than those who were Republicans. But there was still lots of skepticism on both sides: 43 percent of Democrats and 71 percent of Republicans thought the health law had fallen short of the sign-up target.

In most Americans’ minds, healthcare.gov is still a disaster

Another question in the Kaiser Family Foundation survey asked whether the botched rollout has essentially made Obamacare unworkable or if, after some early problems, the law is now working as intended.

Most people agreed with the first idea, despite the fact that Healthcare.gov has functioned decently well since December.

Obamacare_again"News about the problems with the exchanges was on a lot longer than any discussion of beating the enrollment goal," Hamel says. "It's possible that all the reports were still in the forefront of people's minds."

And its likely that most Americans are gauging their understanding of how well — or poorly — Obamacare is going from the news coverage. Most Americans already have health insurance, and aren’t shopping on the exchanges for new policies. So even if the Obamacare experience improves, most people won’t necessarily notice.

“So many people are not impacted by the law that they’re more likely to respond to messages in the media than they are to evaluate their own experience,” Hamel says. “That makes me think it will be a while before there’s any shift in how people think the law is going.”

More in Health Care

Politics
Mifepristone survives another Supreme Court scare — for nowMifepristone survives another Supreme Court scare — for now
Politics

Only Thomas and Alito publicly dissented.

By Ian Millhiser
Health
Hantavirus will test if the world learned anything from CovidHantavirus will test if the world learned anything from Covid
Health

The hantavirus outbreak is still small. But it’s a huge test for a battered public health sector.

By Dylan Scott
Health
How worried should I be about hantavirus?How worried should I be about hantavirus?
Health

5 questions about the hantavirus cruise ship outbreak, answered.

By Dylan Scott
Good Medicine
Do health influencers actually know what they’re talking about?Do health influencers actually know what they’re talking about?
Good Medicine

Most health influencers don’t have real credentials — but they are more influential than ever.

By Dylan Scott
Health
A major new study found AI outperformed doctors in ER diagnosis — but there’s a catchA major new study found AI outperformed doctors in ER diagnosis — but there’s a catch
Health

An Open AI model posted impressive results in emergency care. But we still need human doctors.

By Dylan Scott
Health
Please don’t inject yourself with bootleg peptidesPlease don’t inject yourself with bootleg peptides
Health

Why Americans have gone wild self-experimenting with the hottest thing in wellness: Peptides.

By Dylan Scott