Expect 7 million new insurance card holders in 2014

The administration has announced its estimate of the first year enrollment on the health insurance marketplaces as 7 million. That’s 7 million out of 52 million Americans currently not holding any form of health insurance. Given that some estimates are that 19 million of the 52 million are eligible for some level of premium subsidy, 7 million seems a bit light.

Perhaps this is a game of setting low expectations in the hope that reality will be much better.