Why your ACA plan from last year might not be the best one for you this year,

[BlindTiresias]

46. They don't want to control costs though

Assuming that businesses can get waivers for lower grade insurance or pass the insurance on to the individual (nearly guaranteed with right wing control of govt, as incrementalism cuts both ways) and the insurance companies still intact to move to loosen regulations on them, yeah, I think ideological driven pro-business types would love a balkanized system so they can flee to states without rigorous healthcare systems in place, no matter how more efficient they are.

What I am saying is that the incrementalist direction for the ACA you are assuming to exist is not guaranteed and actually quite unlikely given the ideological makeup of both dem and repub leadership. There will be incremental changes to it, but it won't be in the direction of "singlepayer" and the state specific movement towards single payer will be attacked by the right as every effort is made to make them fail.

The only way this would have ever worked is if the power of the insurance companies was broken, but it wasn't, and they are going to clawback what regulations do exist and twist the ACA to be totally in their favor, which really already is but these are totalitarians we are speaking of, so nothing but totality will satisfy them.