We are about to reap the consequences of our shitty, dumb healthcare

[ehrnst]

50. The ACA is far more than a band-aid. It's real, and it actually got people insurance.

MFA is a pipe dream, and has been since 1972.

The ACA has been damaged, and thwarted, and needs to be put back on track to expansion.

If the 2010 SCOTUS was able to strike down the requirement that states enact Medicaid expansion as per the ACA, how do you think that the SCOTUS of 2022 is going to rule on states expanding Medicare to everyone?

And yes, it will need to be administered at the state level, not simply at the federal level. Medicare is a much smaller population than Medicaid, which needs to be administered at the regional level.

Even Canada's model is closer to Medicaid in terms of administration, and they have a smaller population than the US.

I'll take real over perfect and hypothetical any day, and the ACA is real, when MFA has failed time and time again - even the state that had the political will to elect Sanders to the Senate could not manage to get it off the ground. The taxes were going to be more than the citizens would pay.

Others have analyzed where GreenMountain care went off the rails, but interestingly that Sanders either does not want, or is able, to learn from any case studies. He gets testy when asked about it, and won't discuss it. One would think that if one was truly expecting to be in a position to deliver on it, that one would be trying to keep up with any lessons learned, in an effort to head off the same issues when the time came for them to make good.

Then again, if someone simply refuses to listen to anyone who disagrees with them whatsoever concerning something they consider to be their marketing trademark, then perhaps one doesn't ever really expect it to be much more than a trademark, and won't tolerate being asked about anything they can't discuss or they feel is embarassing.

Just sayin.