How Obamacare Was Designed to Fail

A pedestrian walks past an insurance agency that offers Affordable Care Act plans, in Miami on Jan. 28, 2021. Following the COVID-19 pandemic and enhanced subsidies approved by Congress in 2021, enrollment more than doubled, reaching a record 24.3 million in 2025. Joe Raedle/Getty Images

Many people expected the Affordable Care Act to “bend the cost curve” in health care, but some critics say that didn’t happen. 

“We pay more than any other country in the world for worse health care,” Sen. Elissa Slotkin (D-Mich.) said while campaigning for office in 2024.