I don't think the Health Insurance Reform Act was a great progressive achievement.

[Bob Wallace]

181. You might want to check that "all" in your claim...

We're moving from what we had (which was not working too well) to something that hopefully will work better. Like it or not, insurance companies had enough political power to keep them in business.

Now we've got a system in which hopefully insurance companies will profit by taking care of their customers. They must spend 80% of collected premiums on services. They cannot cut services and increase their profits.

And if they don't serve their customers well then they will lose customers to another company. There will be both premium price and quality of service competition between companies. If their customer count goes down so does their "sum of the twenty percents".

Might "Medicare for All" be an even better system?

Perhaps, but that option was not available in the current political environment. If this system doesn't work then we'll have a better platform from which to work on a "socialist nightmare" system. We'll have everyone insured, a better health care system, and all we'll be looking for is a cheaper way to provide care.