President Obama decided we couldn’t wait to address the problem of our broken health care system, one consuming more and more of our total revenue, costing almost twice per person as in every other developed country in the world, with its cost rising faster than the rate of inflation. It had to aim to serve everyone.
Massachusetts Gov. Mitt Romney had gotten his state to adopt a system based on commercial insurers, that was running successfully. Washington decided to copy that as the basis for the Affordable Care Act. Massachusetts’ citizens love it and the state has had no problem in switching to the Affordable Care Act.
This is true for many states, even Sen. Mitch McConnell’s Kentucky. Tellingly, these states want the plan to succeed. Hearing the pounding chant from the Republican Party and its supporters that “Obamacare is a train wreck waiting to happen,” and with McConnell saying that Affordable Care will be unworkable, I ask whatever happened to facts and truth.
The rant is not because they think it will fail, but that it will succeed, never to be abandoned.
To cover everyone, subsidies are needed for the poorest. You may notice that many comparisons fail to include the subsidies in their analyses, so they badly, probably deliberately, overstate the cost. It may be socialistic, but so were Medicare and Medicaid, which are almost universally popular.
They have been far better managed than for-profit health insurance companies. It’s not even close.
On a related point, acts by a number of Republican states opting out of Medicaid expansion will leave millions of their poorest next January without access to any health care other than emergency rooms.
Costly, cruel and deadly in the extreme, but it will save those states hardly a dime. This includes Georgia and South Carolina. We must not forget this at the next election
Let’s give Romney his due and nickname it “Romneycare.”
Victor J. Reilly
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