Max Nisen, Columnist

The ACA Needs a Last-Minute Push

Enrollment is down amid Trump attacks, a lack of advertising, and the end of the individual mandate.

A lot less attention in 2018.

Photographer: Joe Raedle/Getty Images

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In many ways, the Affordable Care Act is in good shape this year. Democratic gains in the midterm elections mean repeal is off the table for now, and individual insurance is cheaper in some states for the first time in years.

But with just a few more days to sign up for 2019 coverage in many states, enrollment is way down. That’s to be expected to some extent given the end of the individual insurance mandate. But the market needs whatever final push its supporters can manage to shore up the system. If the administration has its way, next year could be worse.