Wow, check out this comment on existing U.S. single-payer system

[bvar22]

22. The entire Class Based System of Health CARE delivery is an abomination to any Enlightened Democracy

Lets take a qucik look at the Class Separations of the Affordable Care Act:

1st Class:
For the RICH only
This is who the ACA has helped the most so far.
Before the ACA, Americans with children afflicted with PECs (Pre-Existing Conditions) couldn't BUY health Insurance at any price.
NOW, thanks to the ACA everyone with a disposable income HIGH enough to afford the pricey Buy Ins for these exclusive policies can NOW buy insurance.

While Insurance Corporation can no longer exclude you for a PEC,
they CAN and DO exclude those lower classes who don't have sufficient income to BUY their way in.

The same applies to wealth parents with children.
If you have enough MONEY, you can PAY to have your children included on your insurance policies.


2nd Class:
This is primarily for Upper Middle Class Americans who get their insurance through their employers. This class is shrinking, and will soon merge with the Working Classes into The Exchanges. Currently, they can still find adequate health care, but that clock is ticking.
Top One Percent Captured 121 Percent Of All Income Gains
http://www.huffingtonpost.com/2013/02/12/top-one-percent-income-gains_n_2670455.html

Corporate Profits Hit Record High While Worker Wages Hit Record Low
http://thinkprogress.org/economy/2012/12/03/1270541/corporate-profits-wages-record/?mobile=nc


3rd Class:
The Exchanges
This is for Americans who still have a job, but can no longer afford Health Insurance.
Estimates vary, but most prediction indicate that this will affect 40 Million to 70 Million Americans by 2014.

They will be forced to BUY Health Insurance from For Profit corporations on The Exchange, which will vary from State to State.
The fact that each state will run their own "Exchange" guarantees that Americans in THIS class (which will be most of us sooner or later) will stay divided and never have a collective, unified voice to demand fairness from the 50 individual exchanges (Smart, hunh?)
Each Exchange will be further divided into 3 different groups according to Economic Class:
1)The Gold Class, which can afford to pay for Gold Insurance.
2)The Silver Class, for those who can afford Silver Insurance
3)The Bronze Class, for....well, you know.

As far as I can tell, the much vaunted subsidies will only apply for the Bronze Class (Junk) Insurance.
So that makes 6 different levels of "coverage", depending on how much money you make.

And in 7th Place, last & least,
is those who qualify for the Medicaid Expansion.


Aren't you a little embarrassed that THIS is the best we can do?

Don't the Class Distinctions bother you just a little bit?

Do you have any idea how this "Uniquely American Solution"
compares to civilized countries with classless Health CARE for everyone?

I don't see HOW we can "Fix It Later".
The MANDATE and The Exchanges (run BY Health Insurance Corps) are the ONLY solid pieces of legislation that came out of ObamaCare,
and The Mandate has been upheld by the Supreme Court.
Everything else is regulatory, and subject to capricious changes.

We are going to be stuck with the MANDATE to BUY Health Insurance from For Profit Corporations for a long, LONG time.
The "subsidies" don't really go to Americans,
but directly to the Health Insurance Cartel.
An Open Door to the Public Treasury for the most useless Corporations on the face of our planet.


I really "hope" I'm wrong,
but I see MILLIONS of angry Americans in 2014,
and a potential nightmare that may produce a Republican Sweep in 2016.
All the Republicans have to do is say,
"Yep. We voted against it."