Tue Mar 1, 2016, 04:27 PM
Nuclear Unicorn (19,497 posts)
The ACA and the General Election
Since single payer -- to quote one "Democratic" candidate -- will, "never, ever happen" what will become of the ACA?
So far 36 states declined to set-up exchanges whatsoever. Of the remaining states that did make an effort half of those exchanges have either closed or are going on life support (assuming they can afford the premiums and deductibles). What's more, the employer mandate has been waived since the law's inception. Sadly, the GOP has not suffered in the least for their opposition to the law. Sure, they may not have been able to repeal it but that's because Obama obviously refuses to sign the bill killing his quasi-eponymous achievement.
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Author | Time | Post |
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Nuclear Unicorn | Mar 2016 | OP |
Hoyt | Mar 2016 | #1 |
Response to Nuclear Unicorn (Original post)
Tue Mar 1, 2016, 04:38 PM
Hoyt (54,770 posts)
1. Not setting up a state exchange just defaults to the federal exchange which it better
for us anyway.
Now the Medicaid expansion is an issue, but the law was written where all states would have the expanded Medicaid for the poor. Then, the Supreme Court stepped in. That should be easier to figure out a way around, than scrapping the ACA and starting over with a single payer plan that is guaranteed to fail as long as 40+% of the populace is opposed to it (rightly or wrongly), and another good chunk of people -- who might be fine with a single payer system -- aren't going to believe it will be cheaper to them or better than what they have right now. It doesn't matter if single payer is better, too many people don't believe it is. To me, a public option gets us there faster. Those that don't want to have their coverage changed can keep paying for it. Those that think a public option will be cheaper and better, can choose it. Overtime, if the public option is better, people will gravitate to it and what would essentially be single payer. But, fighting for single payer will most likely end up with repeal of ACA and a crummy voucher system. |