The words of the Beastie Boys “Sabotage” have been running through (some of) our heads recently as the President takes more swipes at the Affordable Care Act (ACA). He is using all his tools to sabotage the Exchanges. The changes to open enrollment were bad – the shortened open enrollment period, reduced outreach and enrollment efforts, and maintenance on Sundays will negatively impact the federal marketplace. Washington State was still in decent shape because of our state-based Exchange. Then last Thursday, he hit ALL the Exchanges with a sledgehammer. Twice.

(Cartoon courtesy of our friends at Fuse Washington)