In my close look at silver plan selection in 2015 among HealthCare.gov customers who were eligible for Cost Sharing Reduction (available only with silver plans), I expressed some disappointment that CSR takeup had apparently dipped a bit on the federal exchange from 2014 to 2015. Disappointment on that particular point may have been misplaced.
Official projections of long-term Medicare spending were lowered sharply in response to the ACA. It seemed like the ACA had made a major dent in addressing our long-term fiscal challenges. But had it?