Megan McArdle, Columnist

All the Wrong People Are Getting Obamacare

Obamacare's state exchanges are attracting the old and poor, not the young and healthy.
Lock
This article is for subscribers only.

The state exchanges have been the highlight of a so far dismal rollout process for the health insurance exchanges of the Affordable Care Act. When supporters of the law are challenged, that's where they point to prove that the new insurance markets can work -- if governors are committed to making them work.

But this CBS News reportdiscusses a growing source of disquiet: In almost half those states, the overwhelming majority of enrollments are coming from Medicaid, not the new insurance markets -- 87 percent in Washington, 82 percent in Kentucky, and last time I looked, 100 percent in Oregon (which delayed opening its insurance exchange to work out the technical bugs). The Medicaid expansion side of the bill seems to be working fine in the states that opted for the expansion. But the private insurance side doesn't seem to be getting a lot of pickup.