If the ACA works, why does Pennsylvania need to prop it up?
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 ...