Learning to love Obamacare, cont.

Recently, conservative healthcare policy commentator Avik Roy pivoted from a long history of denouncing the Affordable Care Act to acceptance of its status as law of the land and thence to a happy vision of a marriage between Obamacare and Ryancare, whereby seniors are progressively migrated onto the ACA's exchanges, and Medicare's remaining "public option" (traditional Medicare) becomes available to non-seniors on the ACA exchanges.

This pivot highlights the Heritage Foundation pedigree of the ACA: Democrats embraced "premium support" and healthcare exchanges because the combo seemed the only form of universal healthcare provision that Republicans could support; Republicans promptly demonized the effort even as they proposed migrating its structure into Medicare. In any case, the ACA exchanges should indeed serve as a proving ground for the dubious notion that managed competition among insurers will reduce healthcare costs.

A recent article by two partners at Mercer Health and Benefits, a major HR consultant, highlights another effect of the ACA that should cheer conservatives.  The ACA's coverage mandates, Tracy Watts and Eric Grossman assert, have raised the cost of coverage and so led more employers toward a form of health insurance that shifts more costs to policyholders and possibly lowers them overall: