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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