Ndaccountant
Old Hoss
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I think this is a fair question and it is something that those against obamacare have made repeatedly after the law was passed. I believe it is a hollow argument, however. In the nearly 50 years that led up to the passing of the ACA, the government did exactly nothing to bring about the types of changes that you are talking about here. That is largely because the right was always there to defelect any attempts to fix the mounting problems with skyrocketing costs. Eventually it became clear that any attempt to sew a workable plan together one piece at a time was going to mean a knock-down, drag-out fight every single time. Politically, it just became clear that it was easier to have one big fight instead of 100 big fights when the conditions were set for victory. Where others have failed in getting a more comprehensive plan through the system (Clinton), Obama succeeded and I think we would have forgotten about this discussion already if his administration didn't fumble so badly on the initial implementation of the law. As I have said in several posts over the past couple of weeks in this thread, the various pieces that make up Obamacare are very popular ideas, but it would have been a protracted war to make any more than a piece or two at a time into policy, let alone something that is more comprehensive. At the end of the day, lets be honest, this is a program to give poor people access to healthcare. Some would argue (and it is people on the left and the right who would do so) that this access comes at the expense of richer Americans. Heck, Bill Mahr called it a "Robin Hood program" months ago. I think that is accurate. What it really comes down to is whether you are for it being a Robin Hood program or against it. I personally am OK with it. Would it have been easier to target the problems that existed in the old system one at a time? Maybe, but I just don't think the political atmosphere would have allowed it.
I don't disagree but the "rich" in this case really aren't all that "rich", at least if you go by Obama's arbitrary number of $250K (from all of the tax debates). Now, depending on your filing status, you may be rich if you make over $45K. From the studies I have read, depending on filing status, family making between $45-$95K may be eligible for subsidies, but not guaranteed.