The "Affordable" (sic) Care Act was a platypus and thus an evolutionary dead end.
It was always impossible to mate universal government health care with capitalistic insurance.
Luigi chose the wrong target.
Link: https://issuesinsights.com/2025/11/13/irony-alert-democrats-shutdown-opened-the-door-to-dismantling-obamacare/
Replies to: The "Affordable" (sic) Care Act was a platypus and thus an evolutionary dead end.
45M Americans now have HC coverage...and ALL Americans are free from being denied coverage
due to Pre-Existing Conditions...you want to get rid of that...and replace it with WHAT?
Complex question... with no simple solution. But sending billions to INs Companies feels wrong.
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Don't forget...Obama and the Dems FORCED the Insurance Co's into stopping their denial of coverage
for Pre-Existing Conditions...and into removing caps on the amount of care provided, thus keeping millions of Americans out of bankruptcy. It indeed was a 'Complex' endeavor to get the benefits they did...that's how it goes in the D.C. 'Sausage Making Factory'...but at least it's a major step forward on the uncompleted task of achieving HC for ALL at Affordable prices for ALL.
Barack and the Dems were NOT in the pockets of the Insurance Co's...if anyone was/is...it's the GOP that keeps trying to Repeal the ACA...think about that.
100%. I said this repeatedly leading up to the Obamacare debacle.
Our govt was built intentionally to have one side blocking the other so as to avoid big changes and be tolerable to all.
There was never an ability of the US govt to manage healthcare. Comparing our great system to other countries was foolish.
Our 'Great System' charged 2X what any other developed nation does for HC...while NOT assuring that
ALL citizens have HC coverage.
Baron is still complaining about his fees not being what he thinks they should be...and having to join the modern world with EMR.
Do you have a healthcare policy to put in place of the ACA?
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Yes. The old one with some mods in Regulation
1) Eliminate the REQUIREMENT for EMR.
(All Dr offices want it, but they were allowed to name their price and EPIC er al shot for the moon with no resistance.
Take away the requirement, and the free market drives costs down instantly.
Also, the EMR cost is one of the biggest deterrents ti small practices opening to provide competition to the price gouging hospital run systems.
2) Offer med mal reform with strings:
-No change in actual damage claims which are usually well quantifiable
- put a cap on pain & suffering dMsges at an agreed upon, non egregious number for various types of cases….
……a big problem in med mal now is that insurance companies have difficulty quantifying their costs- this helps fix that so that costs can be stabilized and thus prices better controlled.
……ALSO, this cap would avoid the even bigger problem in med mal - plaintiff lawyers naming sums do high that it fears defensible cases into settlement.
Make the fucking lawyers earn it, and free up Dr’s to defend themselves.
- allow med mal cases to go before a jury of peers as constitution recommends - medical tribunals (I doubt this ever would happen, but its stupid that the lawyer with the cutest smile influences a case where the juror has no way to know the medicine and just decides who they want to take their advice from)
THE STRING ATTACHED - give every Dr the choice:
If you want capped pain & suffering med mal deal, you must see X% of indigent patients for free. If not, you get the same as it was. (I don’t know a Dr who wouldn’t take this deal).
- it cuts cost of insurance and thus can be transmitted to patients in a competitive market where there are choices besides expensive hospital systems
- it treats the poor FOR FREE on their outpatient care giving them access they presently lack
- it saves tax payers $
Roadblock to this plan: plaintiff lawyers - powerful
A note - one of the biggest problems we now have in medicine is that we have taken the free market out of the equation and given control over to hospital systems.
I have pharma & insurance ideas also but im on a phone & i dont want to do more right now
For reference, I have started my own private practice which I ran for years, I have been a part of two hospital systems. I have started snd run a completely separate small business, I have sat on more hospital committees, rules boards, quality review, and boards than I want to remember.
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Well, I’ll be damned…your plan is 100x more comprehensive than Trump’s plan…which is a zero
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UnitedHealth's new CEO got $61M, hazard pay I suppose.
Everyone should find this repugnant.
Made possible by the guaranteed govt Ins Co $ of Obamacare
This is why the Ins Co’s & drug Co’s were si strongly in favor of Obamacare.
They couldn’t believe Obama was doing it.
Same with the hospital systems.
But those rich (and unorganized) doctors just had to pay - they were the cause of the high premiums back in the day per the libs- just ask 94.
And to be clear, while I personally fought Obamacare in every way that I could, I knew that I would (and did) benefit from the payoff as hospital systems were given more where-with-all and impetus to buy medical practices and treat the more veteran doctors well.
So this is not a financially influenced assessment on my part - quite the opposite.