The Future of the Health Insurance Policy →
The bigger problem is that for the ACA to work financially, healthy people, particularly young childless healthy people, need to sign up for insurance. In any health insurance system, these young healthy people keep the cost down for others. While this may not seem fair, any American who has received health care through their employer has been part of a similar system. At a big company, the young healthy workers subsidize the older and less healthy workers. The difference is that people who get health insurance through their jobs are mandated to participate in the program. Of course, everybody is mandated to buy health insurance, but it will soon become clear that the enforcement of this mandate will not be strong.