There’s no denying that under Obamacare, the cost of healthcare, as well as deductibles and premiums, have risen for many Americans. As well, there are at times fewer healthcare options to choose from. Yet in spite of this reality, polls show that the majority of people do not think the ACA should be dismantled and would prefer instead that it is modified. But given the unpredictable nature of US healthcare these days, it’s important to understand what would happen if the ACA did simply disappear. Forecasts vary widely, depending on who you ask.

Forecast #1: uninsured, and in the lurch

Critics of a repeal have asserted that allowing the Affordable Care Act (ACA) to crash without a phase-out period or a replacement plan could create problematic gaps in insurance for many. A Congressional Budget Office (CBO) report issued last year found that while the federal deficit would be cut by $473 billion over a decade if the ACA were repealed, it also found that 17 million people would lose coverage in just the first year—in addition to a 25% jump in premiums. Also, 32 million would lose insurance after a decade, with premiums continuing to rise. While Medicaid expansion is still a need for children as well as for opioid addiction treatments that would all simply cease to exist. And people with preexisting health conditions might have trouble finding insurance, as well as affording it. A recent analysis estimates that more than 52 million Americans have conditions that make them uninsurable without the ACA.

Forecast #2: the states stepping in

Some predict that if the ACA were to vanish, the states would be compelled to take over the insurance marketplaces, Medicaid included. Twila Brase, the president and co-founder of the Citizens’ Council for Health Freedom believes this would decrease costs, and provide more options, as well as facilitate access. According to Brase, allowing the ACA to collapse would be positive because it would force the states to take over, and under a repeal, insurance companies would be encouraged to get on board with state marketplaces and offer a wider variety of coverage plans. Additionally, the free market would drive down costs. She does admit, however, that those with preexisting conditions would have to pay more.

Regardless of which forecast you believe to be more accurate, one thing is for sure: staying informed of all the latest developments with regard to your healthcare options is a smart move for you and your loved ones. If you have questions about how you might prepare in the event of an ACA repeal, contact at 1-855-881-0430 to speak with a knowledgeable insurance agent. We’re here to help!