As 2013 Comes to an End, Obamacare Starting to Look Pretty Healthy

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I’ve been away from the news for a few days, so I’m behind on things. How’s Obamacare doing? Is it still a train wreck, an epic blunder, doomed to failure, the worst thing to happen to the American public since Dred Scott? I guess it must be. What can happen in the space of a few days, after all? Oh wait:

What seemed impossible in October suddenly became a lot more plausible in late December. This weekend, new enrollment data showed approximately 2 million Americans signed up for private health insurance plans since the start of open enrollment. Health policy experts now see a space to get to 7 million — although it’s by no means a guarantee.

“October and November were essentially lost months,” says Larry Levitt, senior vice president at the Kaiser Family Foundation. “December is the first month where we’re getting an indication of how things are working. It’s starting to track with what people, particularly the CBO, projected originally.” 

“It was a very impressive December,” says Dan Mendelson, president of health research firm Avalere Health. “The fact that they have about 2 million enrolled is not that far off from [the original CBO projection of] 3.3 million.”

Huh. How about that? Make a few tweaks here and there, get the marketing machine rolling, fix the website, and Obamacare is close to being back on track. It’s never going to be the answer to all our health care woes—or, thanks to the vagaries of politics, even the best we could have done—but it’s going to do a lot of good for a lot of people. Here in the real world, that’s really the best we can hope for from a big new piece of public policy.

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WE'LL BE BLUNT

It is astonishingly hard keeping a newsroom afloat these days, and we need to raise $253,000 in online donations quickly, by October 7.

The short of it: Last year, we had to cut $1 million from our budget so we could have any chance of breaking even by the time our fiscal year ended in June. And despite a huge rally from so many of you leading up to the deadline, we still came up a bit short on the whole. We can’t let that happen again. We have no wiggle room to begin with, and now we have a hole to dig out of.

Readers also told us to just give it to you straight when we need to ask for your support, and seeing how matter-of-factly explaining our inner workings, our challenges and finances, can bring more of you in has been a real silver lining. So our online membership lead, Brian, lays it all out for you in his personal, insider account (that literally puts his skin in the game!) of how urgent things are right now.

The upshot: Being able to rally $253,000 in donations over these next few weeks is vitally important simply because it is the number that keeps us right on track, helping make sure we don't end up with a bigger gap than can be filled again, helping us avoid any significant (and knowable) cash-flow crunches for now. We used to be more nonchalant about coming up short this time of year, thinking we can make it by the time June rolls around. Not anymore.

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Getting just 10 percent of the people who care enough about our work to be reading this blurb to part with a few bucks would be utterly transformative for us, and that's very much what we need to keep charging hard in this financially uncertain, high-stakes year.

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