Comment Re:many gov sites down but (Score 1) 193
However, I still disagree. To me this still sounds like rationalization of an unreasonable demand to defund Obamacare. The House has attempted 41 times to repeal Obamacare, and to my (admittedly limited) knowledge made no serious attempt to remedy the law.
There are so many things wrong with this law, including the premise it provides healthcare when it only provides insurance for a few more people, it is almost unfix-able. This is frustrated in how it was passed and how the supreme court reinterpreted the law in order to keep it constitutional. Now we have the administration making changes to it 17 times through executive order, some of which appears to be completely unconstitutional and at least one state is suing over- one change provides special privileges.
I look at our country, with our unreasonably high costs of medical care, and the fact that the ACA isn't that much different from Republican plans in the past, and can only conclude that Obama's plan isn't great but better than watching Americans go bankrupt because they got sick. I realize there are huge devils in a sea of details but remain optimistic that we can make lives better.
There are a few flaws in this line of reasoning. First, the ACA does nothing to reduce the costs of health care and actually increases the costs of medical devices that might be needed to provide healthcare with a medical device tax. What it does do is decrease the payouts for medicaid and medicare which the medical providers will need to supplement from increased costs to insured patients.
The reason for the high costs of medical care in the first place is because we half assed medicare back in 1965. Congress almost had a heart attach after finding out how much they were spending so they passed the HMO act in 1968 which gave authority of medical care to semi-trained officer clerks and secretaries. They did this in an attempt to control what was being spent by medicare at the time. Not only did the HMO's control the quality of care for the elderly, they also chose the spending levels.
Well, this didn't exactly have the right outcome so the government instituted an average payment schedule and a series of tests to determine if a procedure or specific treatment was needed or not. With this average, the US was divided into 5 specific economic regions and medical procedure costs were collected and averaged over those regions. The government would only pay the average and made a law that if the providers couldn't go after the patient for the difference else they couldn't accept medicare or any government assistance. What this led to was an incentive to jack the costs up. Hirer costs means a higher average. The government then responded with only paying a percentage of the average which enticed the increasing of costs again just to break even with what they really wanted to charge. The Insurance companies had a fit so congress exempted their costs from the averages as they negotiate discounts not available to the general public. This once again, increased costs to the people who were not covered by insurance or a government aid program.
Second, the biggest problem with it looking similar to republican proposals of the past is that those proposals never became law. Comparing something that didn't become law to something that is regarded as bad law is a bit of a misnomer.
Third, the Obama plan doesn't really stop people from going bankrupt. The problem with bankruptcy is that you need a reason to file other then you went shopping to often. The biggest or easier reason to file is because you have a substantial loss of income which usually happens when you get large medical bills. The medical bills themselves isn't what bankrupts people, it is the loss of income a person has after spending months off the job. The affordable care act does nothing to remedy this.
Finally, and this probably should be construed as a counter point, there are some things in the ACA that are actually beneficial and helpful. the pre-existing condition clause is good, it could be tweaked a bit but good. The concept of a federal exchange where minimums on coverage can be set (most likely catastrophic coverage) and anyone in any state can purchase insurance across state lines with the change that it must warn of any deficiencies in coverage compared to what their state requires in state providers would be another. There are a few more but my brain is fogging over right now from watching to much anime. The problem is that they are so dependent on the terrible stuff that starting fresh for the most part is a lot easier then trying to fix a broken bridge. It is easier to replace a bridge almost no one uses then it is to replace one that is vital to the rush hour flow. That is why it is important to either get rid of it as soon as possible, or take the special exemptions out so it can fail as soon as possible.
As for the inflammatory half-truths spouted by prominent pundits, I have two things on this. First, most republicans or their intended audience already knows much of what is being said so they don't go into great details and instead sing to the choir. Second, someone has convinced those idiots that being like the democrats somehow wins people over to their side. Look at the beating Ted Cruz has gotten from the democrat senate on the floor and against senate rules if you don't understand that. Those pundits think being like that is somehow going to make them win or something. I don't understand it and think it is unnecessary but I can't stop anyone. I've even been guilty of it myself a few times when I get frustrated.
Right now, my biggest issue with the ACA is with this shutdown. Imagine if you will, another shut down in 10 years and the government decides paying medicaid or medicare coverage or the tax credits need to go the way the parks and memorials did. With any government in this much control of anything that impacts the people's lives this much, it is something to fear if you ask me. We already have had a park ranger state they were told to make it as painful as possible (he used other words to the same effect), and a supposedly senior white house official claim the they didn't care how long the government was shut down because they were winning. I can post links to those claims if you need them but a goolge search should show them.