1.1 Million Fewer Obamacare Enrollments Forecast After Trump Slashes Federal Outreach Advertising By 90%

Joshua Peck writes at Medium:

The Trump administration recently announced that they were cutting the outreach and education budget for Obamacare by 90 percent, from $100 million to $10 million. As the person in charge of how that money was spent last year, I decided to crunch the numbers to figure out what that would mean for enrollment this year.

A minimum of 1.1 million fewer people will enroll in the federal exchange solely because of the administration’s drastic cuts to Open Enrollment outreach. Keep in mind, this is the least harm the administration’s outreach cuts could have — this is a best case scenario. It assumes they spend the $10 million they have budgeted well and that nothing else the administration has done will impact enrollment.

When it comes to estimating the impact of outreach, I am not pulling a number out of the air. The administration falsely asserted that “they had not done any studies of the efficacy of enrollment advertising”. This is absurd. The Department of Health and Human Services closely measured the impact of outreach during previous Open Enrollments so we have a clear understanding of how effective advertising is at driving enrollment.

  • TampaDink

    The party of NO are determined to see how many of us they can kill off.

    • NMNative

      True, the left will suffer, but, overwhelmingly, the low and middle income folks who voted for trump will suffer the most, from loss of insurance, social safety nets, access to quality education, exposure to harmful chemicals and pollutants, etc
      The ignorant, the uneducated, the simpletons he was able to, and is still able to, fool with his lies.
      When you get all of your news from britebart and faux you have little reason to not believe him.

      • AmeriCanadian

        Do you honestly believe that the Drumpf voters will know what hit them and, more importantly, why? They are so low information it’s breathtaking. All they need to hear is someone on Faux News blame Obama or the Democrats and that’s what they will latch onto. And the saddest thing of all is that they will CONTINUE to vote Republican, and for Drumpf if he runs again.

      • TampaDink

        So true.

  • Jay George
  • TrueWords
  • The_Wretched

    If the ACA won’t fail on its own, we’ll make it fail via maladministration.

    • Tawreos

      I have already seen the Trumpites that I know blame Obamacare for their rates going up, so it will fail and he won’t be blamed by the people he completely screwed over.

      • Karen

        Google is paying 97$ per hour,with weekly payouts.You can also avail this.
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    • TrueWords


      There is SUCH shame in being poor and white for many here in America therefore you must destroy and/or demean the freedoms of others in order to make yourself better. Many Tea Party people lives will be DESTROYED by this healthcare initiative but will they speak out…NO

      The white face of poverty is something that is not discussed (from causal conversations to the media to politicians) here in America, while people accept, assign blame, give strategies to overcome hardships and generally talk about anyone who is darker than a paper bag being poor.

      However when the dialog shifts to the number of white Americans that are poor there is a HUSH that falls upon the room.

  • JWC

    This failed social experiment has to end

  • bkmn

    Remember that he is going to try to blame Dems for the “failure” of Obamacare. We can not allow that to happen.

  • FAEN

    Thin Skinned Whiny Little Bitch!

  • Butch

    In terms of unintended consequences, the uncertainty in the health care markets is likely to make the better plans more affordable than the poorer plans, according to David Anderson at Balloon Juice: https://www.balloon-juice.com/2017/10/23/silver-loading-and-confusion/#more-221882

  • safari

    Donald owns it. I truly hope it bites his base hard.

    • Joe in PA

      If only his followers saw that. You won’t hear their media sources telling them anything of the sort.

      Low information rules!

  • Treant

    Lemme guess, they’ll still hit you on your taxes if you don’t have a plan, though? And that money goes to the Federal government, right? Which means one of Dumpster’s “friends” or Dumpster himself will grift it into their own pockets.


  • TexasBoy

    Damn that Congress for not killing it, and damn Obamacare for not simply dying on it’s own. But I’ll fix that! I’ll kill it! Seriously, why didn’t this ignoramus just rename it Trumpcare…it’s really just an ego thing for him.

    • He said he didn’t want his name on it. So in some area of his brain, he knows what he is doing is wrong and doesn’t want his name saddled with it for all time.

  • Ninja0980

    May the people that voted for him be hit the hardest.

    • safari

      The new American proverb

      • Lumpy Gaga

        Or an old Russian joke: the one about the person who doesn’t care if his eye is gouged out as long as his neighbor’s is. (IIRC)

      • jmax

        Silly – it’s spelled P-O-V-E-R-B.

    • TrueWords

      They will be BUT they will NEVER say a word; they will somehow blame everyone but the RepublicTHUGS

    • Hubby knows 3 hard core cheetolini voters. Who was truly hoping that HRC would get jail time. Anyway…..they are all for the end of ACA, but it won’t hurt them at all. They have FREE lifetime insurance from the school district because they were on the school board. Yes, free, no premiums, no fees no nothing. This is causing the current school board to restrict offering insurance to actual employees because they can’t afford paying for both. But would they actually revoke that free insurance, oh hellz no, that is why most people serve on the board in our area.

      • zhera


    • jerry

      It will…and even worse, it will cause the closure of many of the country’s rural hospitals and clinics. It already caused this in states that refused the expanded Medicaid. When they have no one to bill for their services, too much ends up getting written off, or they receive minimal monthly payments from the patients.

  • Treant

    OT: Well, I hit the dentist’s office at 8:45, and had my tooth repaired by 9:30. Then off to the ENT for the second stent implanted in my nose at 11.

    As of now, my teeth hurt, but my nose is still numb…except this stent was placed high and inside, and I’m already developing a black eye.

    I’m just going to tell people that my husband hits me.

    • Jay George
      • Treant

        Take that soup back and add ice. Bring it back when it’s luke-warm and won’t irritate the aching tooth. 🙂

        • Joe in PA

          take the soup back and add ice and vodka.

          There, fixed it for ya.

          • Lazycrockett

            fuck the soup.

          • Lumpy Gaga

            Absolut Poulet

          • Joe in PA

            Oh my, I hope @pickypecker is around for that comment! 🙂

    • Joe in PA

      placed high and inside…

      Do tell.

    • Joe in PA

      You are falling apart. 🙂

      Get better, you have seeds to start soon. 🙂

      • Treant

        The numbness is fading from my nose and it’s starting to swell, so that’s a real joy.

        Honestly. People should turn themselves in for spare parts by the time they hit 40.

        I want Cap’n Crunch’s Crunchberries. Now. I’ll pick some up when I go to the store for my antibiotic, which is not yet filled.

        • Joe in PA

          Cap’n Crunch’s Crunchberries…

          Good lord, I see the anesthetic hasn’t worn off. 🙁 Blech.

        • Ragnar Lothbrok

          lol, I used to live on Cap’n Crunch

        • AmeriCanadian

          Cocoa Puffs are my go to comfort food when I’m sick. However, they tend to scrape up the roof of my mouth.

          • Treant

            The same with the Cap’n Crunch. Both the regular stuff and the Crunchberries, both of which I do like.

            I ate those as a child when I was unhappy. I eat them as an adult when I’m unhappy or ill. And they always abrade the top of my mouth.

            Ah, well, the doctor says there are far worse things to use as comfort food.

          • My go to comfort food is toast and if really sick I require cold canned peaches as well.

          • AmeriCanadian

            Interesting childhood. 😉

        • safari

          Make sure they are soggy before you eat them.

          • Joe in PA

            Stop! You are making me queasy! Ugh.

        • Silver Badger

          Don’t forget to fill the pain medication scripts.

          • Lumpy Gaga

            Cap’n Crunch Crunchberries: now a pain med under Trumpcare.

          • BobSF_94117

            And a vegetable!

          • Treant

            There aren’t any. 🙂 For this, Tylenol is fine, and take a sleeping pill if necessary. It wasn’t necessary the last time, although I woke up every time I rolled over onto my nose.

        • True Story. This summer, I went to Charleston South Carolina to see the eclipse with my friend Benja from Spain (I never posted this photo here btw — this is what we saw from a boat in Charleston Harbor. The week before the eclipse, I was painting the living room and stupidly moved a huge wall unit on my own and hurt my leg badly enough to need x-rays and bedrest for a few days (I just strained some muscles, nothing that serious). My doctor knew about my trip and asked me if I wanted any pain killers “just in case” my leg acted up on the trip. I told him no, that he knew my attitude towards addictive pills, and that I would make do without, He then says jokingly “You have to be kidding me. You live in Palm Beach County, the painkiller capital of the USA and are turning down a vicodin script? Get it filled, stand outside a Pain Clinic, and just hold it up for three minutes and sell it for a few hundred dollars like everyone else does” and cracks up! Note he is a family friend — and was not serious.

          • Bad Tom

            Lovely picture!

          • Treant

            …So how much did you get for the script? 🙂

    • safari

      That’s too much going on with one head.

    • Lumpy Gaga

      Planking is so 2016. This year it’s all about garden gnoming.

    • MBear

      Or say you were getting on the bus and slipped and hit the farebox.

      In your best Dawn Davenport voice you can exclaim, “I felt like a damn fool. ”

      Apologies that i cant quote that one verbatim. Old age has not been kind to memory

    • greenmanTN

      Behind your back: “He’s been asking for it for years!” 😉

      j/k and hope you feel better!

    • Jon Doh

      I tell people my husband regularly beats me unmercifully with a car aerial. John Waters fan here.

  • joe ho

    And now they’ve launched a campaign lying about their tax plan. They claim the average household will get a $4000 cut. In reality almost all of the cuts go to the 1%.

    If I give 10 apples to 1 person, and 0 apples to 9 people, then the average person will receive 1 apple. But 9 people will still have 0 apples.

    GOP can count on Americans not to see through their deception.

    • safari

      Woah. I didn’t know tax reform required math.

    • Are they still planning to raise the minimum tax rate from 10 to 12% on income? It is amazing they have the balls to do this and call it a “tax cut” – there is no way any working class or fixed income (retired) Trump voter should put up with this.

  • jimbo65

    With all of the daily lying and attempts to totally kill democracy, I’m done. I sometimes wish an asteroid would just hit us.

  • Lazycrockett

    He doesn’t care if people get sick and die, it has Obama’s name on it and thus must be destroyed.

    • Lumpy Gaga

      Every time I hear a story about how petty that grudge is, I can’t believe it. If General Huckakelly is to be believed, that was Trump’s core question: “Did Obama do it?”

      No context, no numbers, no extenuating circumstances. Just, “Did Obama do it?”

    • He really, and truly didn’t take well to being roasted by Obama at the Correspondence Dinner

  • Bj Lincoln

    They are doing the same thing to Obamacare they did to voters. Take away places to vote – take money away from the insurance companies. Require ID to vote – remove necessary advertising for signing up. Same thing on abortions. Close clinics with too many requirements and stop funding Planned Parenthood. The GOP will do anything and everything to Chip away at things until they really are broken.

    • joe ho

      And soon no one will have to recognize same-sex marriages if they don’t want to.

      • Lumpy Gaga

        SS marriage, abortion, and Obamacare: Still on the Books! Vote Democrat!

    • MBear

      And yet: still no pitchforks

  • roadtripboy

    Last year I didn’t qualify for my employers insurance, so I got Obama Care. It’s great insurance. This year I quality for insurance at work, but it has higher premiums and the coverage is not as good. But, I guess I’m going to take the work insurance. Mainly, because I won’t have to wonder if I’m going to have insurance every time the idiot at the White House opens his mouth.

    • If you have an Obamacare plan, make sure to recheck other plans, including Gold and Bronze ones as well as Silver plans (which most people automatically get) due to confusion about cost sharing and other subsidies next year when you get your renewal letters. Sign up begins on November 1. It may be cheaper to move to a Gold plan — which might cost a bit more each more , but cost much less in copays.

    • JCF

      Thank God Medicaid (my Medi-Cal) isn’t affected. Yet.

  • Very few of us would have predicted the day after election day in 2016 — almost one year ago — that Obamacare — the ACA — would still be the law of the land today. This was the GOP’s – and Trump’s – signature issue for the election. It is still here! They have come damn close to repealing it, Democratic Party unity (with a little help from three GOP moderates Senators most notably John McCain in September) have saved it. We can still lose Obamacare if a Democratic Party civil war breaks out between moderates and leftists before the 2018 elections — ruining the chances of reflecting vulnerable incumbents- misdirecting limited resources and egged on by outside interference (Putin/Wikileaks/Right Wing money)— but the Affordable Care Act / Obamacare is still the law of the land!

    • Lumpy Gaga

      Very few of us would have predicted the day after election day in 2016
      — almost one year ago — that Obamacare — the ACA — would still be
      the law of the land today. This was the GOP’s – and Trump’s – signature
      issue for the election. It is still here!

      Not to argue, but the Trumpastration has

      1) severely curtailed enrollment website uptime.
      2) stopped subsidy payments to insurers by EO
      3) Slashed outreach advertising by 90%

      and much more that I can’t recall at the moment.

      The implosion 45 has been screaming about since before the election is being arranged strategically placed bomb by strategically placed bomb.

    • Jean-Marc in Canada

      Sadly, Bernie seems determined to foment said civil war.

  • Ross

    I love Republican “logic”.

    A fetus?

    A PRECIOUS LIFE!!!!!!!!

    The rest of us?


    • JCF

      Remember, according to Christianism, a fetus is an “innocent life”. The rest of us are “Sinners in the hands of an Angry God!”

  • Belthazar

    This is the reason I posted the enrollment period on my Facebook page and encouraged others to share and keep sharing. It won’t reach everyone but it’s a start.

  • Boy Elvis

    Again, given their role with the Russian ads Facebook should provide free advertising for ACA enrollment.

    If you agree, let Facebook know it.

  • Jean-Marc in Canada

    Remember when Palin said the ACA would lead to Death Panels…Trump just became a one man death panel.

  • Tempus Fuggit

    Gosh, who could’ve seen this coming? Aside from, um, everyone.

  • JCF

    Please, EVERYONE, publicize the ACA enrollment period. All the time, EVERYWHERE, online and IRL.

    PUBLICIZE IT: https://www.healthcare.gov/