Populist Reform of the Democratic Party
In reply to the discussion: Understanding the Corporate Welfare Giveaway known as the ACA... [View all]Hoyt
(54,770 posts)Actually, most state Medicaid agencies gave up trying to pay claims and run the entire program themselves. It's sad, but they just gave up because it was too costly and complicated for them to handle.
You missed my point - if the feds had to take on administering the ACA and the risk, some Dems would have defected. Both the House and Senate had to do some wrangling to get what was passed through.
Finally, at least half of that 20% goes to paying claims, maintaining provider networks, utilization review, billing premiums, monitoring quality, etc. The other 10% goes for risk taking and profit.. Right now, that doesn't bother me. Long-term, that needs to be reduced.
I think Obama had good intentions, but the reality was totally different once he got in office. Sure, he could have tried to push something else through, and it likely would have been stalled just like Hillarycare, which was good legislation.