Now that the states and the car­ri­ers have made all the changes required under the Afford­able Care Act, the Pres­i­dent has respond­ed to pub­lic pres­sure and said that qual­i­ty is no longer a pri­or­i­ty and he did not mean what he said about can­celling the indi­vid­ual poli­cies. First he extend­ed the dead­line for changes to indi­vid­ual plans to March 31, but now he will extend it anoth­er three years. That avoids both mid term elec­tion fall­out and goes into the next Pres­i­den­tial elec­tion as well. That’s nice…but the changes have already been made. Who is going to fol­low this man­date when the car­ri­ers have already announced and made the changes? Under the pro­posed rule, con­sumers may con­tin­ue to pur­chase the pre­vi­ous­ly dis­al­lowed “skimpy plans” until Octo­ber 2016 and can keep them until Sep­tem­ber 2017 Rep­re­sen­ta­tive Fred Upton said “the admin­is­tra­tion can­not run fast enough away from its bro­ken promis­es” and House Over­sight Chair­man Dar­rell Issa said “this move is a cyn­i­cal ploy that delays thou­sands of insur­ance pol­i­cy can­cel­la­tions under after the elections”