After video of the conference was put online, Gruber elaborated on what he meant by his attention-garnering remarks and apologized for them, saying that he "spoke inappropriately":
Gruber's comments were part of a broader public conversation between him and economist Mark Pauly on the economics of health care reform. Gruber was responding to a remark by Pauly about financing transparency in the law and the politics surrounding the ACA's individual mandate. The political process, he said, striking a critical tone, resulted in inefficiencies in the law which should be corrected.
"In terms of risk-rated subsidies, if you had a law which explicitly said that healthy people pay in and sick people get money, it would not have passed," he said. "You can't
do it politically, you just literally cannot do it. It's not only transparent financing but also transparent spending."
In the video, Gruber appeared to be speaking specifically about the political environment in 2010 and its impact on the law's funding mechanisms. Gruber takes a critical stance on some of those outcomes, calling them "irrational."
"I wish Mark was right and we could make it all transparent but I'd rather have this law than not," Gruber said. "That involves tradeoffs that we don't prefer as economists but are realistic."
Gruber apologized for his comments during an on-air interview with MSNBC's Ronan Farrow.
"The comments in the video were made at an academic conference," Gruber said. "I was speaking off the cuff and I basically spoke inappropriately and I regret having made those comments."
Although Gruber apologized for the language he used, Gruber said that the larger point he was trying to make centered on the political pressures that shaped the law. He added that those pressures "led to an incomplete law with some typos."
"It would have made more sense to do Obamacare the way we did in Massachusetts, which would be to just give people money to offset the cost of their health insurance," Gruber said. "That was politically infeasible and so instead it was done through the tax code."