The Affordable Care Act has survived GOP attempts to defund and delay it. But a new study co-authored by Sheila P. Burke, who was chief of staff and top health care adviser to former Kansas Sen. Bob Dole, notes some potential policy flaws of the ACA. One is that the tax penalty for people who don’t buy insurance isn’t high enough. That could lead to “adverse selection,” in which sick people buy insurance from the marketplace but not enough healthy people do so to spread out the costs. Some states with Republican governors, such as Kansas, also may set up obstacles to the ACA.
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