this post was submitted on 10 Jan 2024
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The Biden administration says 20 million people have enrolled for health insurance through the Affordable Care Act marketplaces, with still a few days left for signing up

Some 20 million people have signed up for health insurance this year through the Affordable Care Act marketplaces, a record-breaking figure.

President Joe Biden will likely proclaim those results regularly on the campaign trail for months to come as former President Donald Trump, the Republican front-runner, vows to dismantle the Obama-era program.

The Biden administration announced Wednesday morning that 20 million have enrolled for coverage on the marketplace, days before the open enrollment period is set to close on Jan. 16.

The latest enrollment projections mean a quarter more Americans have signed up for coverage this year compared to last — another record-breaking year when 16.3 million enrolled in the program. Signs-ups spiked after Biden took office, with Democrats rolling out a series of tax breaks that give millions of Americans access to low cost plans, some with zero-dollar premiums.

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[–] cyd 6 points 1 year ago* (last edited 1 year ago) (1 children)

NHS is single-provider, where the government supplies the healthcare directly (e.g., doctors and nurses are NHS employees). Single payer usually refers to systems where the government pays for healthcare, but the healthcare can be supplied by a mix of providers including private sector providers, like in Canada.

But you're right, single payer isn't the same thing as universal healthcare. In practice, the US system with Obamacare can be regarded as a universal healthcare system. Switzerland, which has a similar public-private model, is generally regarded as having universal healthcare. The only subtlety is that the US system makes it pretty easy to opt out entirely, so some fraction of the population ends up not having healthcare access through some combination of bad luck and bad decision-making.

[–] [email protected] 2 points 1 year ago

Ah you're definitely right, my bad for over-simplifying a bit. Thanks for clarifying!