It is going to get worse, before it gets better.. health care act

[TheKentuckian]

15. Pretty thin complete disagreement here, based not off facts but rather perception.

I'm really just saying that the current hubbub was easily predictable and therefore should have been avoided, knowing that unforeseeable issues would come as a reasonable consequence of the scale of the undertaking but instead problem after problem was filed under "we'll fix it later" with little to no concern about how we'd even have the ability to do so and when or how the things that need fixing would put the brakes on having and/or acquiring such power.

I'm here to tell you that the current problems are small potatoes compared to the time bombs ticking away.

I think that many believe good intentions will make even the most wayward and flawed law eventually work out in the end but ignore that dragging all the systemic entropy and propping up "stakeholders" is too much to just "fix".

Unfortunately, sometimes in this world the best you can do just isn't good enough and sometimes good intentions pave the road to hell. The meat is deeply flawed and it is the last minute trimmings that are expected to carry the day here. The things that proponents identify as being the seeds that will flip this thing from GingrichCare are last moment add ons in the legislative process like the poorly thought out MLR that will bite us yet and likely cause overall costs to rise rather than act as containment and the state waivers.

I don't folks get or are willing to admit this effort is flawed not just compared to other systems but in its own context because it is feeble even for a strictly market based reform, this isn't in practical reality the government instituting regulations on a market but rather it turns out to be substantially an idea out of right wing think tanks written by the insurance cartel and the pharmaceutical corporations with over a hundred TeaPubliKlan amendments all with no other intent but to be gremlins in the works and cause hardships for those we are supposed to be helping with a few pay to play sweeteners to make the muck palatable enough to go down.

Look there is no way to accept this as even an honest effort to rein in the cartel because for all the supposed reform we still have a fucking cartel with an antitrust exemption which means they don't actually even compete which means all the market force talk is pure jive and so on a fundamental level we after all of this dust up have the exact same system in place as before with a few pay to play features that make up the bulk of the "change" and an obligation of 5 he people to the profits of 5 he same predatory cartel we were supposed to be fixing.

The thing doesn't even start off with consistent logic, though it seems to lean toward the assumption of over utilization and insufficient cost sharing as the reason for the worst abuses of the cartel and a genuine desire to expand the safety net but with an underlying desire to string it together based on personal responsibility as well as identifying a societal need but framed as an individual obligation.

Beyond the most basic premise of providing access to those locked out there is no consistent world view here to the point that one might actually believe that the two parties actually did cleave a some babies in half and hammered out a compromise except we did all the compromise internally and got exactly one vote in the house from a bit player with no juice to demand (with no apparent influence on the legislation which was totally what the Senate produced) so we get 100% of the blame and the opposition has zero incentive to make bad better and ever motivation to make it fail or morph into a nightmare.

The party has walked away from better plans in the past because we used to understand that you can't spin straw into gold and shit works even more poorly. You have to have something to build on even if you are making a purely incremental effort. Our foundation is made of sand and we need major systemic reform just as much now as we did in 2008 and will be in even more desperate shape with less resources in say 2034.