James Capretta has spent more than two decades studying American health care policy. As an associate director at the White House's Office of Management and Budget from 2001 to 2004, he was responsible for all health care, Social Security and welfare issues. Earlier, he served as a senior health policy analyst at the U.S. Senate Budget Committee and at the U.S. House Committee on Ways and Means. Capretta is also concurrently a Senior Fellow at the Ethics and Public Policy Center. At AEI, he will be researching how to replace the Patient Protection and Affordable Care Act (best known as Obamacare) with a less expensive reform plan to provide effective and secure health insurance for working-age Americans and their families.
Senior Fellow, Ethics and Public Policy Center, 2013 -present
Fellow, Ethics and Public Policy Center, 2006 -2012
Editorial Board, Health Affairs, 2012- present
Advisory Board, National Institute for Health Care Management, 2011-present
Associate Director for Human Resource Programs, Office of Management and Budget, 2001-2004
Senior Analyst, U.S. Senate Budget Committee and U.S. House Ways and Means Committee, 1990 -2000
The past two months have laid bare the emptiness of the president’s most prominent Obamacare promises. Millions are losing the plans they have and like against their wishes, contrary to the president’s oft-repeated pledge. And those being forced into Obamacare could lose access to the doctors and hospitals they trust, also contrary to assurances from the president.
The Obamacare implementation disaster is far worse than even the most pessimistic critics predicted before the October 1 launch. The fiasco that has been on full public display for the past two months is so bad for the president and his party that it will have lasting political and policy effects, no matter what Republicans do at this point.
The immediate problem for the administration is that even with a perfectly functional enrollment and data transmission system, it would be challenging to process new insurance enrollments of 4 million or so people in a two week period.
At this point, given the disastrous launch of Obamacare, it is not out of the question that the law would increase the uninsured rate rather than decrease it. Reaching the benchmark of 14 million newly insured would take a miraculous turnaround.