General Discussion
In reply to the discussion: I’m freaking depressed....Poll shows Obamacare.. [View all]TheKentuckian
(25,035 posts)Forget single, payer, forget NHS, this is most substantially the existing system that maintains the cartel status of the insurance industry (antitrust exemption), virtually no cost control measures other than self denial of care, intentionally poor ramping to the exchanges, the inefficiency of state pools rather than harnessing the full negotiating power of the nation as a true counter weight, continuing the state based regulation that has proven ineffective and outgunned with no resources to even the odds, stubbornly and foolishly stuck with the employer based system of gatekeeping, functions under the wrongheaded assumption that individual abuse is the central driver of costs, guaranteed profits to a criminal cartel creating another too big to fail institutions back stopped by the full faith and credit of the US, abuses and distorts the taxing authority of the government by dictating the post tax spending of citizens without any voluntary action from the citizen, failed to make rescission illegal, is in no small part a big sloppy, wet kiss to the pharmaceutical industry expanding patents costing consumers and the government more money while failing to negotiate drug prices, places struggling working class folks to purchase a consumer product that they cannot afford to use.
Also, of interest on the side is the thing that is actually beneficial and working is socialism. The real hay being made here is the patchwork expansion of Medicaid, aka socialism. Yep, it is the socialist aspect of the plan that is the primary driver of both satisfaction with the plan and the increase in covered citizens. Left to invisible hand portions the plan would a bust with overwhelmed cheerleaders pointing to a few pay to play features and possible waivers for alternative exchange set ups (thanks Bernie!) as a success.
You see, when you carefully construct a plan to not disrupt the existing system you largely end up with the existing system and with little benefit to the average person. The plan ends up being a big help to the really, really poor if they have the right geography and the well off and the wealthy because they are guaranteed coverage and their liability is limited.
Most folks are getting a mandate to buy whatever slop the boss wants to serve.