That credit goes to i believe mit economics professor jonathan gruber who came up with the metaphor back in 2006 while helping develop mitt romney s romneycare model for massachusetts which was the basis for the aca s exchange model for the individual insurance.
Aca three legged stool.
With premium tax credit subsidies at stake in the king v.
My full explainer of the aca s 3 legged stool and the individual mandate.
3 center for american progress health care reform is a three legged stool this fact motivated massachusetts in 2006 to add a second leg to the stool.
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The affordable care act represents the most significant transformation of our health insurance market in more than 40 years.
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However there ve been a few complaints about a couple of patches which are a bit slow or where the slides accompanying the audio are a bit confusing so i ve added.
It starts by requiring that insurers offer the same plans at the same prices to everyone regardless of.
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Some people are crediting me with creating the 3 legged stool metaphor which simply isn t the case.
A requirement that all residents purchase insurance.
Social security employee pensions and.
Together these three elements of the aca formed the statute s three legged stool to ensure that insurance pools are not imbalanced with a disproportionate number of older sicker people who would cause premiums to skyrocket.
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The three legged stool of health reform.
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The three legged stool is an old phrase that many financial planners once used to describe the three most common sources of retirement income.
So the affordable care act went for incrementalism the so called three legged stool.
Burwell case our video explainer shows how the aca relies on three key provisions to provide affordable health coverage to all and what.
In the pending supreme court case king v.