Maybe. But here are some questions to ponder: Are there other ways to control health care spending without making patients pay 50 percent of a hospital bill if they can only afford a cheaper premium? How strong is the evidence that cost sharing will bend the cost curve, and for whom? If people put off necessary care because they can’t afford the out-of-pocket costs, won’t they have poorer health outcomes? If the costs are substantial enough to change behavior, doesn’t that suggest that medical bankruptcy—which the ACA was supposed to make a thing of the past—may still be with us? And can the media dig in to all this before the next round of outrage about broken promises shows up?

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Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.