General Discussion
In reply to the discussion: Why the Supreme Court Should Kill ‘Obamacare’ [View all]jeff47
(26,549 posts)The idea of expanding and "fixing" in the long run is to change it.
Here's what's going to happen over the next 20 years or so:
Exchanges get set up.
The ACA phases out the tax benefits for companies to provide health insurance. So gradually more and more people will end up on the exchanges.
More people on the exchanges provides cover for creating the public option in the exchanges. Especially when the private insurance companies abuse the system (and they will).
Since the public option is non-profit, it should be cheaper than the insurance companies. That will cause lots of people to choose it.
Those people won't die any more frequently than the people covered by private insurance, which will get rid of the irrational fear.
Result: De-facto single payer. Sure, it's a Rube Goldberg contraption, but it gets there.