Now that the Supreme Court has upheld Obamacare, the statute’s most ardent defenders may well come to rue the day. During the legal struggles over the law, its defenders took for granted that the law would deliver on its major promise, which was to extend affordable coverage to the over 47 million people who now lack healthcare insurance, without disrupting the protection that others currently enjoy.
Unfortunately, these bold pronouncements failed to take into account the old and powerful economic law of unintended consequences. Public officials, at both the federal and the state level, are grappling with the Herculean task of implementing the law. Its internal complexity and flawed design make it a program that was built to fail. Ultimately, the law will hurt the very people it's supposed to help, as I explain further in my weekly column for Hoover's Defining Ideas.