Obamacare: The good, the bad and the GOP

  • Article by: Bryan Dowd
  • Updated: October 27, 2013 - 5:17 PM

Success won’t be easy, and Republicans should have let the flaws force change.

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goferfanzOct. 27, 13 3:00 PM

While this is a thoughtful column, it is NOT a mystery why the GOP is opposed to the ACA fiasco. The smart Dem move would have been a "Medicaid-plus," in which middle class or higher income citizens could have bought a government sponsored high-deductible plan that would have covered most expenses after the first ~10k, etc. It could have simply competed with the private industry, especially if it welcomed pre-existing conditions. Instead, the Dems sold their lies on "You get to keep your doctor, your insurance plan" while including mandates they HAD to know would either cancel many private plans, or cause the massive premium increases, we are now seeing across the country. Fixing the website will only make it very clear to the working class what a Trojan Horse the ACA really is. The GOP has and had good ideas,--> tort reform, allow private plans to compete across state lines, etc, but it is very clear the "no negotiation" Dems wanted no part of actual, logical cost controls. The ACA will begin the vaunted insurance death spiral, and then Uncle Sam will need even more control/aka single payer.

pumiceOct. 27, 13 4:20 PM

About those mandates which "forced" private insurers to cancel their plans... the plans were worth even less than the low premiums. Clients didn't realize how little their plans covered until they tried to file a claim. Then (in addition to discovering their plans didn't cover very much) they'd fall into the drop-and-deny spiral.

lechevalier5Oct. 27, 13 6:49 PM

The real problem with healthcare today is its "for Profit". Medical providers have no incentive to keep us healthy or limit what care they prescribe. The sicker we are the more tests they can order, the more drugs they can prescribe and the more money they make. The insurance carriers have some incentive to control cost but its cheaper to deny coverage. They want to sell insurance to those who don't need it and deny it to those who do. Drug companies don't want to cure illnesses they would rather manage illnesses on an ongoing basis. the ACA will not work because it doesn't address the real problem, Greed!

diogenesnyOct. 27, 13 6:58 PM

As far as the GOP "plans" for insurance, the Democrats spent 14 months trying to negotiate with the GOP, who brought their own "all or nothing" demands to the table (which didn't include tort reform, as I recall). Then, after the Democrats adopted some (but not all) of their ideas, they still didn't give it a single vote.

DO1023Oct. 27, 13 8:27 PM

Until Obama and the rest of the DC aristocrats as well as 5.6 million union members who are all exempt, I won't support the ACA.

badcopperOct. 27, 13 8:35 PM

Clients didn't realize how little their plans covered until they tried to file a claim---- once again a liberal telling others what us good for them.

merkinOct. 27, 13 9:12 PM

So let me see if I get this straight. A health care system proposed by a conservative think tank and implemented by a conservative Republican governor is lauded, but when it's implemented by a Democrat president suddenly it's bad.

Yeah, that makes sense.

bajabuddyOct. 27, 13 9:13 PM

I would be interested to know why the ideas in the article and book by David Goldhill ("How American Healthcare Killed My Father", 2009 and beyond)never got a hearing among those who hashed out the ACA. I think Democrats and Republicans alike, at least among the public, could easily see the common sense in his analysis of the fundamental problem, which the ACA does not address. Moving toward a solution would probably introduce the same kind of counterproductive politicking we're seeing now, but at least the public itself would have a firm grasp of what a solution should "look like". One of the reasons the ACA is a mess is because it is not directed by anything like "the will of the people"--it's an attempt to stuff a bunch of patches onto a system that fails many people in many different ways.

merkinOct. 27, 13 9:17 PM

Seriously, Republicans are just a bunch of flip-floppers. They support a free market solution until it's proposed by a Democrat president and suddenly it's the worst idea they've ever heard of. I swear nothing will ever make these people happy.

alansonOct. 27, 1311:11 PM

Close to half the country is opposed to the entirety of the ACA. This was known at the time the legislation was passed, and reflected in the razor-thin margins in the Congress. The calculation was that ACA, like Social Security and Medicare before it, would gain adherents as people became familiar with it. That still seems to be the theory - just give us enough time and everything will be ok. The problem is the means-tested cross-subsidies in the ACA are all too obvious and all too painful. The law couldn't pass the Congress today in any form. Don't expect the Republicans to cooperate in sugar coating what nearly half the country thinks is a very bad law.


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