General Discussion
In reply to the discussion: Why the Supreme Court Should Kill ‘Obamacare’ [View all]TheKentuckian
(26,314 posts)How is propping up the existing system (and it is the existing system) going to hasten its demise?
Mandating participation and hundreds of billions of tax dollars is no making the insurance cartel go away quicker than the suicidal model. Going as we were, a near majority would be priced out in a decade or so and the rate of growth so extreme that the economy as a whole would be unable to cope in another ten.
The Wealthcare and Profit Protection Act will, as it was designed to do, preserve and protect the existing for profit system.
Crisis mode would not create "perfection" but rather destabalize control and kill profits which would allow the potential for a systemic replacement over the next decade or two. Avoiding crisis mode, props up the predatory system. Avoiding the worst pains of crisis mode allows misconceptions about the system to continue to be brushed under the rug and for people to take nonsense on faith. No pain, no gain. Too many times no pain means no imepetus for gain.
"Curbing the worst excesses" allows for other excesses to continue but with less groaning, particularly among the fickled suburban crowd that is usually comfortable but starting the frey a bit. Make the cartel take their money and cover their kids and they will go along. Give the worst off of the working poor something to help with any tinges of guilt and the game can continue for the foreseeable.
There are middle grounds possible but not provided for in this law. This law's sole purpose is to continue the extraction without the mine crashing down on their heads.
Your why hasn't it happened already is simple. Most people not only have coverage but have no serious need under it. Such people simply want lower premiums, regardless of what they cover in actuality.
The picture changes with 40% with no coverage and the 60% slipping due to costs. Most people don't have a serious illness, a pre-existing condition, most never see the full cost of their premiums, most have no idea what is covered or excluded. Nor is it critical what is in and out of network. Most people pay their share right out of their check, go to a doctor one or twice a year, and maybe fill a couple of basic prescriptions. The structural problems and the pain they cause are not seen by most. This is why the basic premise of reform has substantial resistance, much more the actual details of the "reform" we have come up with.
All most people really want is a lower expense so that is why "selling across state lines" shit sells, and why high deductible and even junk plans have a following. Those same people are QUICK to cry for help when some actually has a problem that means they have to use their comprehensive coverage or fight to get the payer to get something covered...QUICK.
They change the fuck out of their tune when the reality of that 10k deductible, 70% coverage, and 20k out of pocket hits them in the face. Those without an out of pocket max, find themselves begging for charity and apply for medicaid, and/or "dying quickly".