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(Reuters)   As "Obamacare" marks its third anniversary, it's becoming increasingly clear who the real winners are under this law: healthcare lobbyists, of course   (reuters.com) divider line 299
    More: Obvious, obamacare, Amy Klobuchar, National Coalition Party, America's Health Insurance Plans, National Federation of Independent Business, Medtronic, lobbying, medical device  
•       •       •

1421 clicks; posted to Politics » on 25 Mar 2013 at 11:30 AM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-03-25 10:21:27 AM
In other news: People who are good at playing the game will continue to be good at the game no matter what rule changes you make.

Obamacare or ACA was an unfunny joke played on the American people; can't afford healthcare? No worries we'll just fine you (dont worry you can cover that right?) and give you medicare. 'cause we all know medicare is great and is the model of efficiency. And then ACA will make things more affordable by increasing costs!! Cause that's how economies works!
 
2013-03-25 10:27:14 AM
"thrid?"
 
vpb [TotalFark]
2013-03-25 10:30:36 AM

The Stealth Hippopotamus: In other news: People who are good at playing the game will continue to be good at the game no matter what rule changes you make.

Obamacare or ACA was an unfunny joke played on the American people; can't afford healthcare? No worries we'll just fine you (dont worry you can cover that right?) and give you medicare. 'cause we all know medicare is great and is the model of efficiency. And then ACA will make things more affordable by increasing costs!! Cause that's how economies works!


So we are going to scrap the exchanges and just give everyone Medicare?  You don't even know what Obamacare is do you?
 
2013-03-25 10:35:17 AM
Gee. No shiat?
 
2013-03-25 10:39:27 AM
Medical device makers on Thursday won a victory of sorts in the Senate, when more than 30 Democrats joined Republicans to approve a non-binding budget amendment calling for repeal of a 2.3 percent tax on medical device companies.

Once again, nobody actually cares about the deficit.
 
2013-03-25 10:41:26 AM

vpb: So we are going to scrap the exchanges and just give everyone Medicare? You don't even know what Obamacare is do you?


Do you know exactly what it is? 'cause the people who help make it law don't even know. I know what they tried to do, and I know how it is unfolding. What this will end up being is anyone's guess but what has happened so far is a cruel joke and a complete waste of money and time.
 
2013-03-25 10:44:43 AM

The Stealth Hippopotamus: Do you know exactly what it is? 'cause the people who help make it law don't even know. I know what they tried to do, and I know how it is unfolding. What this will end up being is anyone's guess but what has happened so far is a cruel joke and a complete waste of money and time.


It will take YEARS for this turd to work it's way through the bowels of the regulatory process before being dumped on our heads.
 
2013-03-25 10:56:39 AM
That's how Republicans designed it to work.
 
2013-03-25 10:56:46 AM

vpb: The Stealth Hippopotamus: In other news: People who are good at playing the game will continue to be good at the game no matter what rule changes you make.

Obamacare or ACA was an unfunny joke played on the American people; can't afford healthcare? No worries we'll just fine you (dont worry you can cover that right?) and give you medicare. 'cause we all know medicare is great and is the model of efficiency. And then ACA will make things more affordable by increasing costs!! Cause that's how economies works!

So we are going to scrap the exchanges and just give everyone Medicare?  You don't even know what Obamacare is do you?


Actually, he's not wrong. Hospitals and doctors are going to be reimbursed at contracted government rates, which is pennies on the ten dollars. And since it'll be a law that they are FORCED to accept it, quality of care is going to suffer. Everyone will get basic services but will either have to have costshare in order to have more expensive services, or if you're really sick or over a certain age, you'll just get "end of life" counseling if covering your care is more expensive than it's worth.

I've read the bill. It's not going to end well for ANYONE, except maybe the government.
 
2013-03-25 11:00:51 AM

The Stealth Hippopotamus: vpb: So we are going to scrap the exchanges and just give everyone Medicare? You don't even know what Obamacare is do you?

Do you know exactly what it is? 'cause the people who help make it law don't even know. I know what they tried to do, and I know how it is unfolding. What this will end up being is anyone's guess but what has happened so far is a cruel joke and a complete waste of money and time.


Oh yeah, that "let's pass it so that we can find out what's in it" bullcrap. That pissed me off so much. And Mentat- for the record, most Republicans are against it, so I'm not sure what point you're trying to make. Rom's main promise was to repeal it. Wealthy republicans who own health insurance companies would of COURSE be against it, because they're the one taking hits.

I'm against it because I don't want to be dependent upon the government, and because a million jobs are going to go up in smoke. I consider myself neither republican NOR democrat, because they're both bizarrely wrong in some ways. I'm just against this whole idea that everyone gets the same care and Uncle Sam decides exactly what that care entails.
 
2013-03-25 11:14:51 AM
I saw Obamacare personally kill my grandmother.
 
2013-03-25 11:26:49 AM

kiwimoogle84: Oh yeah, that "let's pass it so that we can find out what's in it" bullcrap. That pissed me off so much. And Mentat- for the record, most Republicans are against it, so I'm not sure what point you're trying to make. Rom's main promise was to repeal it. Wealthy republicans who own health insurance companies would of COURSE be against it, because they're the one taking hits.


They're against it now because a Democrat passed it.  They weren't against it when the Heritage Foundation came up with the idea, or when Newt Gingrich offered it as an alternative to HillaryCare, or when Governor Romney signed it into law in Massachusetts and suggested it should serve as a national model for health care.
 
2013-03-25 11:29:13 AM

kiwimoogle84: I'm against it because I don't want to be dependent upon the government


So...don't become dependent on the government.
 
vpb [TotalFark]
2013-03-25 11:29:54 AM

The Stealth Hippopotamus: vpb: So we are going to scrap the exchanges and just give everyone Medicare? You don't even know what Obamacare is do you?

Do you know exactly what it is? 'cause the people who help make it law don't even know. I know what they tried to do, and I know how it is unfolding. What this will end up being is anyone's guess but what has happened so far is a cruel joke and a complete waste of money and time.


Of course they know, or do you mean that they don't have every single detail memorized?

I'm sure they know that it isn't putting everyone on Medicare and making them pay a fine too, but the right wing derposphere has it's own reality.
 
2013-03-25 11:34:25 AM
The US health care system is barbaric.  And there is no way it will get any better before it gets a whole lot worse.  But at least my pre-existing conditions will be covered starting in 2014.
 
2013-03-25 11:35:10 AM
Subby can't spell thoday. Isn't this like the thrid misspelled headline?
 
2013-03-25 11:35:16 AM
If you're not changing it to single player or public option, STFU.
 
2013-03-25 11:35:41 AM

ManateeGag: I saw Obamacare personally kill my grandmother.


It raped my father.
 
2013-03-25 11:35:52 AM

EyeballKid: If you're not changing it to single player or public option, STFU.



Damn these typos!
 
2013-03-25 11:36:23 AM
can't afford healthcare? No worries we'll just fine you

wow overt lying on fark dot com, must be a day
 
2013-03-25 11:39:17 AM
Medical device makers, health insurers, retailers and restaurants are waging what lobbyists call a coordinated effort to gain Senate Democratic support for overturning $130 billion in taxes that will be used to fund the new law, and repealing a mandate requiring employers to provide insurance coverage for full-time workers or pay a fine.

This right here is only feeding the oncoming demand for single-payer. The President couldn't wrangle single payer from blue dogs and teabaggers, so this was put into place. I said it once, and I'll say it again: PPACA was designed to suck just enough to make Americans finally cave and implement single payer.
 
2013-03-25 11:39:42 AM

Jackson Herring: can't afford healthcare? No worries we'll just fine you

wow overt lying on fark dot com, must be a day


He's actually correct. If small business employers can't afford the plans that they are being forced to offer, they can opt out and pay a penalty instead.
 
2013-03-25 11:39:43 AM
I hate to break it to you  Subby, lobbyists win no matter what the situation is.  They are the best political influence that money can by.  A government (initially) by the people, of the greedy and power-hungry, and for the richest corporations.
 
2013-03-25 11:40:59 AM

DubyaHater: I hate to break it to you  Subby, lobbyists win no matter what the situation is.  They are the best political influence that money can buy.  A government (initially) by the people, of the greedy and power-hungry, and for the richest corporations.


Fixed
 
2013-03-25 11:41:36 AM
At issue are a 2.3 percent tax on medical devices valued at $30 billion over the next 10 years, a $100 billion health insurance premium tax and the employer mandate, which opponents say could cripple many small business with costly fines.

*Sighs* That's because your ability to see a doctor shouldn't be dependent upon your boss' ability to buy an insurance plan! People cry "Socialism!" but are seriously okay with actuaries, shareholders, and their own f*cking boss deciding whether you live or die?
 
2013-03-25 11:41:47 AM
The Heritage Foundation/Republican Party's health care plan from 1995 is a big corporate giveaway? I'm farking shocked. But thanks to our conservative politicians on both sides of the aisle, a real solution was never forthcoming.
 
2013-03-25 11:42:14 AM

verbaltoxin: Medical device makers, health insurers, retailers and restaurants are waging what lobbyists call a coordinated effort to gain Senate Democratic support for overturning $130 billion in taxes that will be used to fund the new law, and repealing a mandate requiring employers to provide insurance coverage for full-time workers or pay a fine.

This right here is only feeding the oncoming demand for single-payer. The President couldn't wrangle single payer from blue dogs and teabaggers, so this was put into place. I said it once, and I'll say it again: PPACA was designed to suck just enough to make Americans finally cave and implement single payer.


IDK if it was designed that way, but I hope that's how it turns out.
 
2013-03-25 11:42:38 AM

verbaltoxin: At issue are a 2.3 percent tax on medical devices valued at $30 billion over the next 10 years, a $100 billion health insurance premium tax and the employer mandate, which opponents say could cripple many small business with costly fines.

*Sighs* That's because your ability to see a doctor shouldn't be dependent upon your boss' ability to buy an insurance plan! People cry "Socialism!" but are seriously okay with actuaries, shareholders, and their own f*cking boss deciding whether you live or die?


I'm not ok with THE GOVERNMENT deciding whether I live or die.
 
2013-03-25 11:42:39 AM

kiwimoogle84: small business employers


farking lollll
 
2013-03-25 11:43:15 AM

The Stealth Hippopotamus: vpb: So we are going to scrap the exchanges and just give everyone Medicare? You don't even know what Obamacare is do you?

Do you know exactly what it is? 'cause the people who help make it law don't even know. I know what they tried to do, and I know how it is unfolding. What this will end up being is anyone's guess but what has happened so far is a cruel joke and a complete waste of money and time.


I heard that if you printed Obozocare on single-sided pages that it's 20,000 pages!  20,000 pages!  20,000 pages is a lot of pages so you know that it's bad.

When Herman "Hermanator" Cain is president, he won't sign anything more than 3 pages.  I say that's too much!  If I had it my way, the highway bill would only say "BUILD SOME ROADS".
 
2013-03-25 11:44:22 AM

kiwimoogle84: I'm not ok with THE GOVERNMENT deciding whether I live or die.


oh my god are you for real

like really really for real
 
2013-03-25 11:44:34 AM
A few friends of mine are lobbyists...

So I'm sure they're really getting a kick out of these replies.
 
2013-03-25 11:44:41 AM

kiwimoogle84: verbaltoxin: At issue are a 2.3 percent tax on medical devices valued at $30 billion over the next 10 years, a $100 billion health insurance premium tax and the employer mandate, which opponents say could cripple many small business with costly fines.

*Sighs* That's because your ability to see a doctor shouldn't be dependent upon your boss' ability to buy an insurance plan! People cry "Socialism!" but are seriously okay with actuaries, shareholders, and their own f*cking boss deciding whether you live or die?

I'm not ok with THE GOVERNMENT deciding whether I live or die.


WAAAAA, SOCIALISM!!

The health care industry has spent more than $700 million to lobby Congress and U.S. agencies from 2010 onward, according to the nonpartisan Center for Responsive Politics. Companies, executives and employees have poured millions more into the coffers of House and Senate members up for re-election in 2014

$700 million. All that NOT spent on providing medical coverage to millions.

Sure, let private industry stand between you and your doctor, not people we elect and can kick out if they don't represent us. Good move there.
 
2013-03-25 11:44:52 AM

Marcus Aurelius: The US health care system is barbaric.  And there is no way it will get any better before it gets a whole lot worse.  But at least my pre-existing conditions will be covered starting in 2014.


Right up until they decide that it's cheaper to let you die than treat you.  That should come about by about 2014.  Go die elsewhere citizen
 
2013-03-25 11:44:58 AM

kiwimoogle84: verbaltoxin: At issue are a 2.3 percent tax on medical devices valued at $30 billion over the next 10 years, a $100 billion health insurance premium tax and the employer mandate, which opponents say could cripple many small business with costly fines.

*Sighs* That's because your ability to see a doctor shouldn't be dependent upon your boss' ability to buy an insurance plan! People cry "Socialism!" but are seriously okay with actuaries, shareholders, and their own f*cking boss deciding whether you live or die?

I'm not ok with THE GOVERNMENT deciding whether I live or die.


But those other people are all totally okay, right?

Jesus. I'm an anarchist and I don't get nearly as pissy-pants about the government as you wingnuts.
 
2013-03-25 11:45:10 AM
Of course, the lesson here isn't that our system of lobbying/political money is broken and needs major reform.  The lesson is that Obamacare = bad because (unlike every other law, apparently) it was written to benefit lobbyists.
 
2013-03-25 11:45:46 AM

Jackson Herring: kiwimoogle84: I'm not ok with THE GOVERNMENT deciding whether I live or die.

oh my god are you for real

like really really for real


Probably not, but who cares? Either way it sums up the opposition to single payer: f*ck you, got mine.
 
2013-03-25 11:45:48 AM

verbaltoxin: At issue are a 2.3 percent tax on medical devices valued at $30 billion over the next 10 years, a $100 billion health insurance premium tax and the employer mandate, which opponents say could cripple many small business with costly fines.

*Sighs* That's because your ability to see a doctor shouldn't be dependent upon your boss' ability to buy an insurance plan! People cry "Socialism!" but are seriously okay with actuaries, shareholders, and their own f*cking boss deciding whether you live or die?


Isn't it really your health care providers who decide whether you live or die?
 
2013-03-25 11:45:59 AM
Without reflection, we go blindly on our way, creating more unintended consequences, and failing to achieve anything useful.
Margaret J. Wheatley
 
2013-03-25 11:46:22 AM

Jackson Herring: kiwimoogle84: I'm not ok with THE GOVERNMENT deciding whether I live or die.

oh my god are you for real

like really really for real


Then explain to me the clause about "end of life" counseling if you're over a certain age and have a serious ailment. Grandma has cancer? Instead of treating her, we'll just counsel her about her upcoming demise.

That's IN THE BILL.

I'm not a foil hat wearer or anything, but I've worked in government healthcare (Medicare and Medi-Cal claims) long enough to know that if you get too expensive to insure, they'll cut you off.
 
2013-03-25 11:47:01 AM
I've given up arguing about Obamacare. Three years of reading fark threads & Facebook posts have taught me that conservatives have no idea what the ACA does, and don't want to learn.

It's very odd behavior to me, if anyone has ever had a success story I'd love to hear it.
 
2013-03-25 11:47:11 AM
I was promised death panels. Thanks a lot, Obummer.
 
2013-03-25 11:47:12 AM

Yeah another Obamacare thread!

Did a paper on The Patient Protection and Affordable Care Act in College.

Here ya go for people who actually want to educate themselves!! Coming in 3 parts because it's looooonnnngggggg.


PART 1 of 3


Table of Contents

Table of Contents               . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     2

Overview              . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       3

Brief History of Health Care in the United States     . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

The Patient Protection and Affordable Health Care Act (PPACA)      . . . . . . . . . . . . . . . . . .             4

Brief History of PPACA  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     4

Key Provisions of the Patient Protection and Affordable Care Act (PPACA)   . . . . . . . . . . .           4

Currently in Effect            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4

Pre-Existing Conditions Insurance Plans (PCIP)      . . . . . . . . . . . . . . . . . .             4

Patient-Centered Outcomes Research Institute (PCORI)         . . . . . . . . . . .           5

Identifying National Priorities for Research             . . . . . . . . . . .           5

Creating research agenda based on identified priorities        . . . .         6

Removal of Life-Time Limit Insurance Caps            . . . . . . . . . . . . . . . . . . . . . . . . . .             6

Free Services for Preventative Care            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .               7

Effective January 1, 2014               . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Maintenance of Minimum Essential Coverage          . . . . . . . . . . . . . . . . . .             7

Applicable Individuals     . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Applicable Minimum Essential Coverage Plans       . . . . . . . . . .            8

Tax Penalty for Non-Compliance . . . . . . . . . . . . . . . . . . . . . . . . .               8

Effective January 1, 2017               . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   9

State Sponsored Health Care Systems          . . . . . . . . . . . . . . . . . . . . . . . . 9

Conclusion           . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         9

Resource and Reference   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       10

Overview


Health Care in the United States can be traced back to as early as the 1850's. It was first offered by Franklin Health Assurance Company of Massachusetts in the form of Accident Insurance against injuries sustained by railroad and steamboat accidents. Health Care played a relatively small role in the lives of American citizens during the late 1800's and early 1900's and was relatively inexpensive due to technological limitations and limited medical knowledge. Over the past 100 years countless technological advances and medical breakthroughs has caused medical care to become a necessity and the cost of health care to grow exponentially. With costs on the rise and an ever growing population requiring care, the United States is currently attempting to quickly gain control of the rising cost of providing Health Care and develop a system that allows for better access to medical facilities and medical care. The Patient Protection and Affordable Care Act (PPACA) is the latest piece of legislation aimed at helping individuals in the United States gain access to affordable and quality health care as well as reduce the Cost of Care associated with treatments and is the focus of this paper. This paper will give a brief history detailing a timeline of health care in the United States, a brief history of PPACA, and then systematically break down key provisions of PPACA explaining how they have already changed the current Health Care System and how they will affect it for years to come.

Brief History of Health Care in the United States

Franklin Health Assurance Company of Massachusetts was the first business to offer insurance but was quickly followed by sixty other companies offering insurance by the late 1860's. However, due to the limited medical knowledge and technology of the time, the services medical facilities could offer were extremely limited and most individuals were seen by a doctor in their house. During this period it was reported that the cost of missing work due to illness was four times more costly than the cost to treat the illness therefore sickness and accident insurance were offered by companies that covered sick leave rather than medical expenditures.

During the next few decades, numerous associations such as the American College for Surgeons (ACS), the American Medical Association (AMA), and the Council on Medical Education (CME) helped create new and improved standards of quality and care in the medical field as medical technology and knowledge progressed. As medical technology and knowledge progressed, so did the role of health care and how it was provided. Hospitals and medical facilities became the standard treatment facilities for patients, rather than their homes, and new standards of care and quality were creating better treatments and success rates. With improved standards and new medical breakthroughs in treatments, demand and cost for health care started to grow exponentially. By the 1960's national healthcare expenditures were ~ 4.5% of the Gross National Product (GNP), healthcare costs had doubled, over 700 insurance companies were selling health insurance and President Lyndon Johnson had signed into law Medicaid and Medicare providing government assistance to millions of Americans. Health care had become more expansive and more expensive than anyone could have predicted.

Since the 1960's the cost of providing medical care had risen to double the inflation rate and almost 16% of the nations citizens (44 million Americans) were without health insurance by 2000.  During this time multiple pieces of legislation were enacted in order to help provide access to and improve the United States Health Care System. Medicare and Medicaid were created in order to provide assistance to the elderly and impoverished. Multiple attempts at creating a "Single Payer" or National Health Care System have been attempted but never succeeded. With medical technology and knowledge continuing to grow at an exponential rate with no signs of slowing down, the cost of care and treatments available are only going to increase. An effective and efficient strategy that seeks to continually lowers costs and improves access to medical care is needed going forward if the United States hopes to gain control of their Health Care System.

The Patient Protection and Affordable Care Act (PPACA)

Brief History of PPACA


The Patient Protection and Affordable Care Act (PPACA) was first introduced to the House by Charles Rangel on September 17, 2009 as the Service Members Home Ownership Tax Act of 2009  (H.R. 3590). It was reviewed by the Tax and Means Committee and passed by the House on October 8, 2009. This Act originally modified homebuyer's credit for members of the Armed Forces and certain other Federal employees. In a procedural move, the Senate co-opted H.R. 3590, removed all existing language from the bill and replaced it with the Patient Protection and Affordable Care Act.

On December 24, 2009 the Patient Protection and Affordable Care Act was passed, with the Health Care and Education Reconciliation Act of 2010 amendment attached, in the Senate with a 60 - 39 vote and on March 23, 2010 President Obama signed the law into effect. Almost immediately there were challenges as to the constitutionality of the bill. Multiple states as well as private lawsuits were filed in order to have the bill struck down as unconstitutional. After multiple rulings and appeals through the lower courts, on June 28, 2012 the Supreme Court Justices ruled the Patient Protection and Affordable Care Act constitutional and upheld the bill in a landmark ruling under National Federation of Independent Business vs. Sebelius. However there are those who are still opposed to the new law and are attempting to have it repealed. The outcome of the next upcoming Presidential Election will greatly influence the fate of PPACA and the direction of Health Care in the United States.

Key Provisions of the Patient Protection and Affordable Care Act (PPACA)

The Patient Protection and Affordable Care Act is a massive piece of legislation that has hundreds of provisions covering a multitude of different areas in the medical field. From attempting to increase the supply of health care workers, to provisions aimed at increasing medical care for Native Americans, the PPACA is a very large and complicated piece of legislation. Key provisions that will have the most noticeable impact on the United States will be discussed in chronological order and analyzed in order to help garner a better understanding of the broad implications and changes made by the PPACA.
 
2013-03-25 11:47:28 AM
ahh ok I get the joke now, you are literally sarah palin
 
2013-03-25 11:47:32 AM

verbaltoxin: Jackson Herring: kiwimoogle84: I'm not ok with THE GOVERNMENT deciding whether I live or die.

oh my god are you for real

like really really for real

Probably not, but who cares? Either way it sums up the opposition to single payer: f*ck you, got mine.


That's not my argument at all. This will kill more people than it helps, and quality of care drops dramatically when reimbursement rates drop through the floor.
 
2013-03-25 11:47:40 AM

kiwimoogle84: Jackson Herring: kiwimoogle84: I'm not ok with THE GOVERNMENT deciding whether I live or die.

oh my god are you for real

like really really for real

Then explain to me the clause about "end of life" counseling if you're over a certain age and have a serious ailment. Grandma has cancer? Instead of treating her, we'll just counsel her about her upcoming demise.

That's IN THE BILL.

I'm not a foil hat wearer or anything, but I've worked in government healthcare (Medicare and Medi-Cal claims) long enough to know that if you get too expensive to insure, they'll cut you off.


DEATH PANELS!!!
 
2013-03-25 11:47:57 AM

kiwimoogle84: That pissed me off so much


I'll bet it did.

Felt good, didn't it.
 
2013-03-25 11:48:04 AM

HawaiiE: I've given up arguing about Obamacare. Three years of reading fark threads & Facebook posts have taught me that conservatives have no idea what the ACA does, and don't want to learn.

It's very odd behavior to me, if anyone has ever had a success story I'd love to hear it.


government

takeover


of


healthcare
 
2013-03-25 11:48:46 AM

kiwimoogle84: Then explain to me the clause about "end of life" counseling if you're over a certain age and have a serious ailment. Grandma has cancer? Instead of treating her, we'll just counsel her about her upcoming demise.

That's IN THE BILL.


How does it feel to be such a lying liar who lies?
 
2013-03-25 11:48:48 AM

verbaltoxin: Medical device makers, health insurers, retailers and restaurants are waging what lobbyists call a coordinated effort to gain Senate Democratic support for overturning $130 billion in taxes that will be used to fund the new law, and repealing a mandate requiring employers to provide insurance coverage for full-time workers or pay a fine.

This right here is only feeding the oncoming demand for single-payer. The President couldn't wrangle single payer from blue dogs and teabaggers, so this was put into place. I said it once, and I'll say it again: PPACA was designed to suck just enough to make Americans finally cave and implement single payer.


And yet PPACA is still worlds better than the system we had before.

Which leads me to believe that, while single-payer/a public option might be inevitable, we're going to be living with PPACA for at least 15 more years. Barring some major change in the way healthcare works (independent of new law, I mean - something like a new scanner that can be MacGuyvered with household parts by a toddler with a learning disability and has 103% accuracy with a 3% error rate), it's far better than what we had, so most Americans will be fine with that for the time being.

Alternatively, we see how little things have changed, coupled with a new system (whether the new taxes and fees are higher or not, they'll seem higher - and people left and right will biatch about them, whether they're government fees or not), so people may be motivated to effect some real change.

// but then I put down the bong
// use take 1
 
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