We can compel military service (the draft), but we can't compel health insurance?

[jeff47]

31. None of those countries do use private insurance for basic care.

And you do understand that a percentage of a number the industry names does not promise affordability.

It means they do not have unlimited profit, which was your concern in your previous post.

Affordability will depend on the cost of care itself, which has to be controlled using other methods. If we had single payer paid via taxes, that would still be the case. Arbitrarily setting the price low doesn't make the care affordable, it creates a shortage.

And what aspect of their profits is so important that actual care should be reduced to maintain that profit?

You have that backwards. The medical loss ratio limit means reducing care reduces their profit. Reducing care means they pay less for care, which reduces the 15/20% they can use for overhead and profit.

Keeping those crooks in the loop, huge error, and exactly why the 'reform' is not well liked.

Blame your Tea Party neighbors. Medicare for all would work much better, but that is not going to pass by itself for decades.

But instead of sitting there steaming over the mandate, make it lead to the outcome we want.

We will all be insured via state exchanges in the relatively near future. The "Cadillac plan tax" will basically make it too expensive for employer-based coverage. That is actually a good thing - health care and employment should not be linked.

So what we need is those exchanges to be single payer or have a public option. This will be relatively easy to accomplish in the blue states. Once established in the blue states, the lack of dead blue-staters and the lower costs will make it easy to pass in purple states, and then eventually in some red states.

Once people are in de facto single-payer through the exchanges, a national single payer will be easy to pass because Republicans won't be able to create fear over "government healthcare".

Yes, the ACA has parts that suck. But we can use the law itself to eliminate those parts that suck. Throwing it away over the parts that suck will cause healthcare reform to be abandoned for another 20 years. Just like last time. And the time before that. And the time before that. And the time before that. And the time before that.