Affordable Care Act

4 Presidential Election Health Care Hot Topics


Most Americans believe issues related to the Affordable Care Act will affect their presidential choice later this year. According to, a Bankrate survey found 85 percent of respondents believe health care reform will play an important role in how they vote. Health care businesses also are evaluating the impact of the law and exploring ideas for improvement. Consider four key issues that presidential candidates will address:

  • ACA – Discussions on repealing or keeping the ACA will dominate discussions throughout the year. In the Bankrate survey, 45 percent of those surveyed wanted to keep the ACA as is, while 44 percent preferred to repeal it. These same results were found in polls taken two years ago before implementation of the health care exchanges.
    • Millennials – Election experts believe younger adults, will impact the presidential vote. The Bankrate survey found 54 percent favor keeping the ACA and 32 want to repeal it.
    • Seniors – Adults age 50 to 64 prefer repealing health care reform as changes in insurance benefits have affected their coverage.
    • Funding – Several issues regarding ACA funding and provider payments will be on the radar for candidates and the public.
  • Prescription drugs – According to Crain’s Detroit Business, drug affordability is American’s top health care concern. This could be a key point of conflict between presidential candidates as people seek relief from high prescription costs, which many pay out of pocket.
  • Insurance mergers – Several insurance carriers struggling with costs associated with health care reform have merged. Regulators will evaluate whether the mergers will provide cost efficiencies or increase costs for consumers, hospitals and doctors. Consumers, employers and insurance carriers will be carefully monitoring the discussion.
  • Excise tax – The Cadillac or excise tax on high-cost employer health care plans, scheduled for implementation in 2020, also will be a key topic in candidate debates, forums and media discussions. Scrapping the tax would require lawmakers to find other funding sources to replace the $91 billion tax revenue that was expected to cover future costs for health care reform.

Crain’s Detroit Business
Insurance Journal

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