General Discussion
In reply to the discussion: Why the Supreme Court Should Kill ‘Obamacare’ [View all]TheKentuckian
(26,314 posts)The most substantial "reforms" are a mandate for something like 85% of the working age population to buy from the company store, an individual mandate to buy a for profit product at the discretion and selection of our employers and a key to the treasury for the insurance cartel. To sweeten the pot their are a few pay to play features meant to smooth a few inhumane rough edges along with a little market for a heavily sequistered part of the population.
We still have overwhelmed states regulating, we still have massive pool fragmentation, we still have employers as the gatekeeper, we have about no price controls, cost controls are via tax dollar making up the gap, the insurance cartel is still our access point to healthcare and decide what care we may have and what medications and doctors we have access to, the delivery system is unchanged.
We have the same system, I guess you can say the Wealthcare and Profit Protection Act builds on the existing system, so I reckon we could build on this rotted pile of fail somemore but the foundation is rotton.
The biggest lie on both sides of the aisle is that we are getting a new healthcare system, it is not remotely the case. By no metric is it even passable as such.
Yeah, we can "build on" alright. We can increase the penalties for not taking coverage, add more tools for the IRS to get your money for the cartel, we can get the cartel more money out of the treasury, we can increase cost sharing, and tax benefits more.
"Fix it later" is sales spin, there are no structures to "fix" that we don't have today. The plan is an old Republican scam designed to prevent reform of any substance, and is certainly to reenforce the cartel not replace it.
This "intervention" is for the benefit of the cartel, without hundreds of billions of tax dollars and requirement to buy their "product" their suicidal model and some tough demographics threatened to bring the whole works down over the next few decades or less.
What we have to fix is the structure, adding a feature so the people don't kill the insurance execs here and there is not building.