The latest estimates from the
According to the
As open enrollment begins this week, health care experts say it will be difficult for the state to move forward, largely because of
"The other half is people that still say they're caught in the middle, and you get this a lot in
Last year, the insurance rate fell a modest one-tenth of a point, from 7.3% in 2016. While it's still vastly better than the 16% uninsured rate in 2013 -- the year before the Affordable Care Act provided insurance plans to all Americans -- there are still millions without insurance.
The slowed progress, and challenges from the federal government, has led to conversations about universal health coverage.
"There are always some people on the margins who are harder sells for insurance but they aren't the same ones each year," said
The Affordable Care Act was modeled after
"To get to 100 percent insurance coverage under current policy seems unlikely, which is why I think at the state level the legislature is trying to explore different options to try and get to universal coverage, but that would require different policies than we currently have," McConville said.
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This question was actually contemplated and debated before the ACA was passed.
Perhaps the biggest unforeseen challenge in recent years has come from the federal government, where a new presidential administration has shown little interest in maintaining the benefits of the health law.
"The problem is now in 2017 there was a real shift with the new administration coming in, changing focus from how can we improve and enroll more people to how can we make it more business-friendly, and if we lose people that's fine," Alex-Charles said.
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