But Moultrie is telling those she helps not to be too concerned about it.
"What I tell them is: 'Nothing's changed,' " she said. "The ACA is the law, and that's not going to change tomorrow or next month."
Whatever happens with the law after Trump becomes president in January, customers are signing a contract with an insurance company that guarantees them health coverage throughout 2017, explains Moultrie, who works for the library.
But some Obamacare customers clearly were concerned. On the day after the presidential election, 100,000 people accessed online health exchanges nationwide, Moultrie said.
Those anxious customers don't need to hurry, according to health care economist
"I don't think it will ever go away," Bailey said. "You can't unscramble an egg."
The 6-year-old Affordable Care Act created state-by-state health-care marketplaces, subsidies to pay for coverage the needy and required all Americans get health insurance coverage or face a tax penalty.
That last item is hugely unpopular. But other parts of the law -- allowing older children to stay on their parents' coverage, or guaranteeing coverage for those with pre-existing medical conditions -- are very popular.
Insurers and hospitals are watching the changing presidential ambitions warily.
Regardless of what happens under Trump, insurance companies have an incentive to try to keep the new customers that they signed up under the insurance market places. For their part, hospitals will want their patients to be insured.
An end to ACA-mandated insurance policies could damage hospitals that already expend millions of dollars of "uncompensated care" to needy patients a year, said
"That leads to an increased cost of care across the state," Goodwin said. If the number of uninsured were to go up, "it would be a challenge, and hospitals are businesses."
Goodwin estimates another 20,000 South Carolinians are eligible for health-care subsidies but haven't used them. Another 178,000 would be eligible for coverage if the state had expanded
Nationwide, some 20 million have signed up for coverage under the law, a formidable hurdle to overcome before overturning the law.
Bailey points out
If insurance companies must cover people who already are sick, they will need to offset those losses with the income from younger, healthier people who ACA required to buy insurance coverage, Bailey says.
Otherwise, Bailey added, "Insurance companies ... will have to charge amazing premiums that nobody can afford."
While the health care market may be unchanged for 2017, Bailey expects
Goodwin said hospital executives are studying a tentative proposal by
In the meantime, Moultrie will continue to work with those she helps at the library, trying to find them a health plan in the state's market place. She and another worker have been "constantly booked" during this year's enrollment period.
As long as new customers sign up before
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