If the ACA Works, Why Do Pennsylvanians Need to Prop It Up?

Originally published by Delaware Valley Journal.

During his budget address, Gov. Josh Shapiro claimed the Affordable Care Act (ACA) “is working for Pennsylvanians.” So, is he right? Judging by his 2025–26 budget plan, even the governor may doubt the ACA truly works for Pennsylvanians.

If it’s working, why do rural hospitals need cash infusions? Shapiro proposes $10 million for rural hospitals and another $20 million for “hospital partners” for patient safety and services. Meanwhile, no evidence exists the ACA has slowed rural hospital closures.

If it’s working, why is there a statewide care provider shortage? A fact Shapiro acknowledged in his address. Notably, his budget adds $10 million above the existing $8 million to repay loans for primary care medical professionals.

Read more at Delaware Valley Journal.