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In reply to the discussion: Uh... we should be thanking *Bernie Sanders and Ron Wyden* for single payer in America. [View all]joshcryer
(62,536 posts)76. Ron Wyden was the author of 1332. Your OP is a lie.
Practically all administrative acts require waivers in one form or another. Please think. 1332 was, in fact, rather typical waiver language. What was special about it is that it required whatever waived plans to meet ACA standards or be better.
The federal government doesnt have all the answers, explains Sen. Ron Wyden, the author of Section 1332. If states are exasperated or frustrated with one provision or another, this is a safety valve. It gives them running room.
Even the Senate bills most cheerful supporters will grant that the legislation is imperfect. There are places where it doesnt go far enough. There are places where it goes too far. There are places where its poorly worded. The problem is that its hard to say in advance what those places are.
Wydens contribution allows states to wiggle out of the consequences of those imperfections. Rather than having to go back through the Congress and the Senate to change a part of the bill, a state that finds the bills language inefficient for achieving the bills goals can simply petition the secretary of Health and Human Services for a waiver. No new legislation needed. No filibusters or holds to evade. No national agenda to contend with.
http://voices.washingtonpost.com/ezra-klein/2009/12/the_case_for_moving_forward.html
Even the Senate bills most cheerful supporters will grant that the legislation is imperfect. There are places where it doesnt go far enough. There are places where it goes too far. There are places where its poorly worded. The problem is that its hard to say in advance what those places are.
Wydens contribution allows states to wiggle out of the consequences of those imperfections. Rather than having to go back through the Congress and the Senate to change a part of the bill, a state that finds the bills language inefficient for achieving the bills goals can simply petition the secretary of Health and Human Services for a waiver. No new legislation needed. No filibusters or holds to evade. No national agenda to contend with.
http://voices.washingtonpost.com/ezra-klein/2009/12/the_case_for_moving_forward.html
But oh no, far be it for Obama to get any credit whatsoever for putting in a poison pill to the ACA that would make it pave the way for single payer.
b) Granting of Waivers.--
(1) In general.--The Secretary may grant a request for a
waiver under subsection (a)(1) only if the Secretary determines
that the State plan--
(A) will provide coverage that is at least as
comprehensive as the coverage defined in section 1302(b)
and offered through Exchanges established under this
title as certified by Office of the Actuary of the
Centers for Medicare & Medicaid Services based on
sufficient data from the State and from comparable
States about their experience with programs created by
this Act and the provisions of this Act that would be
waived;
(B) will provide coverage and cost sharing
protections against excessive out-of-pocket spending
that are at least as affordable as the provisions of
this title would provide;
(C) will provide coverage to at least a comparable
number of its residents as the provisions of this title
would provide; and
(D) will not increase the Federal deficit.
http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/html/PLAW-111publ148.htm
(1) In general.--The Secretary may grant a request for a
waiver under subsection (a)(1) only if the Secretary determines
that the State plan--
(A) will provide coverage that is at least as
comprehensive as the coverage defined in section 1302(b)
and offered through Exchanges established under this
title as certified by Office of the Actuary of the
Centers for Medicare & Medicaid Services based on
sufficient data from the State and from comparable
States about their experience with programs created by
this Act and the provisions of this Act that would be
waived;
(B) will provide coverage and cost sharing
protections against excessive out-of-pocket spending
that are at least as affordable as the provisions of
this title would provide;
(C) will provide coverage to at least a comparable
number of its residents as the provisions of this title
would provide; and
(D) will not increase the Federal deficit.
http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/html/PLAW-111publ148.htm
The real irony is that the most hated Obama defender here predicted this outcome: http://www.democraticunderground.com/1002482074
http://www.democraticunderground.com/1002888869
As did I, of course in this thread with our favorite disruptor: http://www.democraticunderground.com/1002476222
All the while ratfuckers continue to shit on Obama and the Democrats. (Note to jury, please click the Wikipedia link, "ratfucking" means dirty tricks by imposters.)
Regardless the US is run administratively. There was always going to be a waiver.
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Uh... we should be thanking *Bernie Sanders and Ron Wyden* for single payer in America. [View all]
MannyGoldstein
Nov 2013
OP
If the OP is a lie, then please expound. Simply calling the OP a liar isnt very politically liberal
rhett o rick
Nov 2013
#193
It was decades of federal and state litigation prior to any equality given to anyone anywhere.
Luminous Animal
Nov 2013
#18
I'm talking about the decades of litigation that did not happen AFTER the law was passed.
MADem
Nov 2013
#28
Manny's point is that the ACA, as drafted by Obama's team, forbid states from enacting Single Payer.
Maedhros
Nov 2013
#200
Are you assuming that Republicans could and would repeal Obamacare, if they got a simple majority?
merrily
Nov 2013
#103
Yes, but ACA is already a law. You said it had something to do with Democrats winning next time.
merrily
Nov 2013
#127
To some folks around here...the man doesn't deserve credit for ANYTHING he has accomplished
VanillaRhapsody
Nov 2013
#178
and you blame Obama for that....right yeah....cause everything is his fault I am sure!
VanillaRhapsody
Nov 2013
#180
Hahaha!!! Then why is it called ObamaCare... Near the entire thing originated
Luminous Animal
Nov 2013
#23
No, the reason it was called Obamacare was that Obama campaigned on it and the WH did a lot of
merrily
Nov 2013
#106
The White House often initiates legislation. Yes, Congress has to pass it (or not), but
merrily
Nov 2013
#110
Sometimes, a politician whose vote is needed to pass legislation, holds up their vote
sabrina 1
Nov 2013
#171
You must think we are, if you want us to buy that steaming pile you are shopping.
MADem
Nov 2013
#31
Of course they do. They cannot do it alone. But they initiate legislation all the time.
merrily
Nov 2013
#107
It doesn't become operative until 535 people have their way with it, and POTUS signs it, though.
MADem
Nov 2013
#188
We're talking about the ACA here. You know, the bill that Obama signed into law, with a provision
MADem
Nov 2013
#35
Nope, I'm commenting on your broad argument here about what "Presidents" do,
woo me with science
Nov 2013
#48
Comment all you'd like--it's obvious you have no game WRT the subject matter, so you are engaging in
MADem
Nov 2013
#51
MADem was likely refering to other posters grounded in reality reading this thread like me n/t
Bodhi BloodWave
Nov 2013
#267
+1 This thread is an excellent example of what we face in terms of the
woo me with science
Nov 2013
#214
God, you are so well named. A sentiment that seems to get posted to you daily.
Number23
Nov 2013
#225
Could have? They did. And they did it a long while ago. Two and a half years ago, actually.
MADem
Nov 2013
#47
Your post is not the final word. Lots of sources and my own recollection are to contrary.
merrily
Nov 2013
#126
As I said, I try to stay away from mind reading, esp. with people I've never spoken with.
merrily
Nov 2013
#129
Well, you still haven't replied to Post #116. When did the CBO rate single payer?
merrily
Nov 2013
#145
I don't mean to be rude or anything, but it is self-evident that it is much better to
MADem
Nov 2013
#187
Caving on a provision because he needed the vote of every Senator in the Dem Caucus
merrily
Nov 2013
#108
Actually, it seems the CBO said a lot of things about single payer in the 1990s, but little lately.
merrily
Nov 2013
#159
He supported it two months before VT even passed their SP legislation--back in 2011.
MADem
Nov 2013
#70
As I stated, that may have been a compromise on which he condititioned his ACA vote.
merrily
Nov 2013
#137
I take him at his word. As stated twice before, the day may have been a compromise.
merrily
Nov 2013
#147
Yeah....Obama gets blamed because he didn't sign a law that prohibited single-payer. It's rich.
MADem
Nov 2013
#17
Single payer has nothing to do with ACA. Vermont could have passed single payer
Luminous Animal
Nov 2013
#44
So 100% of Vermonters will have health insurance in 2014? That's fantastic!
MannyGoldstein
Nov 2013
#92
So how is that different than the change that would have occured in another 7% state?
MannyGoldstein
Nov 2013
#216
I can't tell you how much I've enjoyed watching you and MADem chop this OP to ribbons
Number23
Nov 2013
#206
What's rude about the truth? And speaking of rude, isn't it rude to make up stories and pass them
MADem
Nov 2013
#190
I already have. You need to check yourself before you wreck yourself, as they used to say back in
MADem
Nov 2013
#222
And we should thank Putin for Syria deal, Hassan Rouhani for the Iran deal, ...
pampango
Nov 2013
#67
It seems obvious that the health insurance industry would do everything they could to stop SP
Fumesucker
Nov 2013
#93
This one, however, had to be run through the outrage press 7 times before it was done...
SidDithers
Nov 2013
#102
Maybe you dont belong in a "politically liberal" DU. Just sayin. You dont seem happy here.
rhett o rick
Nov 2013
#194
"The revisionist history that the cheerleaders ate trying to sell its amusing."
ProSense
Nov 2013
#182
Bottom line, Vermont will have single payer and that is a great thing for Vermont and America.
merrily
Nov 2013
#174
Bernie, who I trust immensely more than you, said the Dem senate, and i quote;
dionysus
Nov 2013
#251