General Discussion
In reply to the discussion: My wife will get her meds [View all]TheKentuckian
(25,026 posts)Now we must somehow replace the fucking thing because we can't get away with killing it and it can't be fixed any easier than constructing a brand new program because it is fundamentally a giveaway to the pharmaceutical industry. It can be improved from the user end and we made some headway there as the doughnut hole will close which will be a great help to many seniors but on the functional end we are really, really hogtied.
To do a little at a time you must set yourself up structurally, when you try to thread the needle and actually make yourself have to reinvent the wheel as an improvement you find that you have screwed the pooch and good.
You can add on to a house, I've seen folks do it a room at at a time off a trailer but you don't do it when it makes you have to find other property in different terrain, maybe in a different country.
The only plausible bridges are the community health centers and the state waivers, the actual meat of the law very much strengthens and reinforces the cartel and sets them up as a too big to fail entity with greater tie in to the full faith and credit of not only the US but each of us individually as well.
I do not like the permutation even as strictly market based reform, the argument that it is this or single payer is simple minded and untrue. That doesn't mean that some real good is being done or that critical relief is being provided but the negative drag is there.