ObamaCare ruined primary care medicine

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

You sound like an elitist for dissing NPs.

I decided to switch to seeing NPs becuase it was taking over 2 months to get an appointment with my PCP that I had been with for over 10 years. I absolutely believe those that are frustrated that health insurance palns fail to set folks up with a physician that will see them in a timely way. I'm sure they could use technology that would show the scheudles for all their available doctors in an area and help members get set up with that doctor, but for some reason they act like it's impossible and instead members have to call and call and call to track down a PCP.

ANyway, I decided to instead go with One MEdical which costs $200 per year and uses NPs. They have a great app that shows the availability of NPs and their locations. Very easy to use.

Plus I feel like the NP is actually better than my PCP-- takes more time and listens to be and asks questions beyond just the exact reason I scheduled the visit.

I encourage you to reconisder your take that NPs are "less than" PCPs-- my NP is just as able to refer me to a specialist as a PCP.

[Anonymous]

Fewer doctors are accepting the ACA coverage my elderly parents have in addition to their Medicare. My dad had a stroke and the earliest we could find a doctor to see him after his ER visit was 6 weeks. My mom and I called every name on their covered providers list in their city (where my mom is comfortable driving) and in the DMV area (where I could drive them). He was on 7 lists to get an appointment if someone else canceled.

Delayed care from the pandemic + fewer insurance-accepting providers = a medical nightmare for most but especially the elderly. Before they got coverage through the ACA, my parents were paying $335/month (mom) and $389/month (dad) directly with a BCBS plan. They got those prices down to $205 & $230 with the ACA.

[Anonymous]

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Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

When I turned 65 and enrolled in Medicare I contacted a primary care practice in NW DC that is listed as taking Medicare and Blue Cross and was told they are now a concierge practice and no longer participate in any insurance. It is snowballing here because no primary practice wants to be left with only the patients the other practices avoid. I use Urgent Care for primary care and contact a specialist directly if I need one. The specialty practices all have some docs who take Medicare and federal insurance because that’s where their volume is.

Sounds like a datapoint of one? You called one doctors office. Yeah that means there’s a huge problem.

You’re nice. Since you are a jackals who needs more explanation. I have lived here for more than two decades and know the market here. We already went through this with my spouse who called multiple practices that either don’t take insurance or aren’t taking new patients. When I enrolled in Medicare, I called the only primary practice in my part of DC that was listed as participating in Medicare and they are now concierge also, so I bypassed the primary care idiocy and went to a specialist.

[Anonymous]

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.

[Anonymous]

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Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era

It doesn’t matter when people with pre-existing conditions have insurance, but now no doctors are out there who take insurance and want a $2000 per year membership club fee and cash payments for services. Right back to square 1 again, now access is impossible for all. Primary care in this region sucks so much a$$. Tons and tons of pcp are now concierge and charge ridiculous membership fees, or they’re impossible to access anyway even if you wanted to join because they take less patients.

ACA ruined primary care, so the solution is to double down with more govt medicine? Insane.

What you are complaining about was already happening. The ACA didn't create nor compound it.

The hell it didn’t. ACA made everything worse with onerous levels of paperwork, requirements/rules, and sh!tty reimbursement.

BS. It’s been that way for decades. I work in healthcare and I know firsthand.

ACA made it 10x worse. If you actually worked in healthcare you’d know this.

Don't work in healthcare--but have just been through an intensive medical issue with a family member. We are blessed with our insurance--but the prices are prohibitive. Insurance does not cover the "list price" but we don't have to pay either.

It seems the nurses have to spend more time on the computers than with patients--and we met great nurses. Saw another specialty nurse afterwards and "protocol" said she could not look at another issue (she did anyway, but could not document it.)

The doctors cannot look you in the eye unless they have a "scribe" because they are so busy writing it on the computer.

They follow "protocol" instead of using their own opinion and instinct. (We did have one who told us this is "protocol" but you might want to consider "Y" instead.......

And the GP sends everyone to a specialist--because that is also protocol.

Technology is taking over and I'm not sure it is better.

None of what you are describing is because of the ACA.

Yes it is. It has to do with the provisions on electronic medical records. This was made worse with a switch to codes in Europe.

[Anonymous]

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Anonymous wrote:I have to admire the optimism. ACA completely failed on its promises of cost savings and better outcomes. Instead of learning from that, people just want to double down and make believe that single payer will fix things.

Hint: the problem isn’t the payment system.

The ACA has succeeded on its cost savings promises. It didn't promise to bring down the cost. It promised to lower the rate at which costs were increasing, which it has.

Yes it was oversold but it has fulfiilled its promise
To be frank our entire system sucks because it is filled with middlemen taking a cut and the ACA didnt change that but rather ossified the system we already had. There are only two ways out: single payer or the elimination of employer based insurance. Eliminating the prohibition on medicare drug price negotiations and ending the state based regulatory system would help but isnt popular with the political donor class.

This is revisionist BS. Obama and his champions in Congress clearly sold lower costs not just lower rate of growth.

Republicans didn't let him do half of what he promised. Not his fault. He got compromise legislation. And the proof of the deal is that Republicans never once put up something better. As of this year they finally shut up and abandoned the repeal of Obamacare.

What he did mattered to many millions of Americans. It is more affordable for the poor and for working people who did not benefit from company health plans, such as independent contractors and small businesses.

Whether it is cheaper for you specifically, I don't know. But we all benefited from the elimination of the preexisting condition problem. I know people who were stuck in their jobs because of a sick kid or spouse, who suddenly became free to pursue better options.

You want a better plan? Get Republicans to put something down on paper that is actually an improvement.

This is complete revisionist garbage. There was NOT A SINGLE GOP vote for the ACA in either chamber of Congress. It is political gaslighting to suggest the ACA’s flaws and failures are due to Obama compromising with or being limited by Republicans when Republicans didn’t even provide a single vote for its passage.

If I recall correctly, Obama’s real compromise on the ACA was with the Democrat senators from Louisiana and Nebraska. Democrats had the votes to pass whatever form of the ACA they wanted to, but they knew that (a) real reform would lead to a slaughter in the 2010 midterms, (b) real reform would imperil a second Obama term and (c) people like you would let them get away with blaming those darned Republicans who always ruin everything. So instead of passing real reform with the once-in-75-years political power they had, democrats took the easy way out and declared victory.

We were promised real savings, better health outcomes and a skyrocketing economy. None of that came true all while costs continued to march upward on a marginally less steep trajectory.

The preexisting conditions changes is a bright spot in the ACA.

The real lesson here is that—at least the third way generation Democrats—the leaders in Congress deep down knew that single payer or some variation of it will be a total mess and they don’t want to pass it. Single payer is to Democrat politicians what abortion is to Republicans. Great on the campaign trail but if you ever actually get what the party base wants the political blowback is going to be ferocious.

We did indeed have a skyrocketing economy, alrhough I don't think that had anything to do with Obamacare.

The ACA itself was indeed a copy of the Heritage Foundation/Romneycare plan. They also did indeed precompromise with Republicans and Phrma. That is how we got pharmacy benefit managers instead of medicare negotiating drug prices.

They were also indeed talking about reducing the growth curve rather than net savings. It was very annoying at the time for those of us paying attention because as you imply it was mealymouth bs wordsmithing.

We did not have a skyrocketing economy. Economic expansion during the Obama years was the weakest expansion since WWII—and it was particularly weak during his first term.

There was no compromise with the GOP. If we accept that your premise is correct then Obama, Reid, Schumer and Pelosi are the biggest idiots in the history of the world where they “compromised” with the GOP and got absolutely zero votes in return for that compromise. Do you really believe that’s what happened here? That’s simply not how negotiations work. The compromise was always with swing state Democrats who wanted to keep their seats. The hope was to water down the ACA enough for swing state Democrats in order to survive the 2010 midterms. Obviously, that didn’t work out. But the Democratic party wants you to believe that the failure of the ACA rests with those Republicans who always screw everything up even though the legislation was passed without a single Republican vote in Congress. The only two options here are that Democrats “compromised” with Republicans and got absolutely nothing in return for it or Democrats screwed this up and they are blaming Republicans for it.

We were clearly sold on net savings. Not a shallower cost growth curve.

That is exactly what happened. For instance single payer wasn't even allowed to be discussed. They made a deal with PhRMA, the insurance companies, and the unions (unions didnt want to give up their negotiated health care benefits) ahead of time and wrote a bill that was almost an exact copy of the Heritage Foundation plan that became Romneycare in Massachusetts. Heck Baucus wrote the bill and released his white paper on it before the inauguration had even happened. And yes they were idiots for doing so. People were complaining about it in real time.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.

We went from under $200 to over $3000

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.

We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

You sound like an elitist for dissing NPs.

I decided to switch to seeing NPs becuase it was taking over 2 months to get an appointment with my PCP that I had been with for over 10 years. I absolutely believe those that are frustrated that health insurance palns fail to set folks up with a physician that will see them in a timely way. I'm sure they could use technology that would show the scheudles for all their available doctors in an area and help members get set up with that doctor, but for some reason they act like it's impossible and instead members have to call and call and call to track down a PCP.

ANyway, I decided to instead go with One MEdical which costs $200 per year and uses NPs. They have a great app that shows the availability of NPs and their locations. Very easy to use.

Plus I feel like the NP is actually better than my PCP-- takes more time and listens to be and asks questions beyond just the exact reason I scheduled the visit.

I encourage you to reconisder your take that NPs are "less than" PCPs-- my NP is just as able to refer me to a specialist as a PCP.

And you sound like a pretentious dbag who makes grand assumptions regarding someone’s health whom you have never even met in real life. How do you know I don’t t have very complicated medical issues and a rare disease? NPs are ok for cuts and bruises. When things are more complex, I want a doctor please.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.

We are self employed. ACA enabled us to do so because we don't want to go without health insurance. Dh has a congenital condition that is considered "pre-existing". When we wanted to go back to being self employed, we couldn't because of the pre-existing condition.

We actually had private health insurance long before ACA, and it was expensive then, too.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.

We went from under $200 to over $3000

Are you in VA? In MoCo, our high deductible plan is $1300, family of four. Prior to ACA, we couldn't get health care coverage because we are self employed, and there is a pre-existing condition in the family.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

You sound like an elitist for dissing NPs.

I decided to switch to seeing NPs becuase it was taking over 2 months to get an appointment with my PCP that I had been with for over 10 years. I absolutely believe those that are frustrated that health insurance palns fail to set folks up with a physician that will see them in a timely way. I'm sure they could use technology that would show the scheudles for all their available doctors in an area and help members get set up with that doctor, but for some reason they act like it's impossible and instead members have to call and call and call to track down a PCP.

ANyway, I decided to instead go with One MEdical which costs $200 per year and uses NPs. They have a great app that shows the availability of NPs and their locations. Very easy to use.

Plus I feel like the NP is actually better than my PCP-- takes more time and listens to be and asks questions beyond just the exact reason I scheduled the visit.

I encourage you to reconisder your take that NPs are "less than" PCPs-- my NP is just as able to refer me to a specialist as a PCP.

And you sound like a pretentious dbag who makes grand assumptions regarding someone’s health whom you have never even met in real life. How do you know I don’t t have very complicated medical issues and a rare disease? NPs are ok for cuts and bruises. When things are more complex, I want a doctor please.

Well, my personal experience as a person with a very complicated medical issue is that a NP was just as good as a PCP at advising which specialist to see-- and really actually better because I didn't need to wait for months to see the PCP.

Or maybe just contact specialists directly to be seen? It's possible you don't need the approval of a PCP to see the specialist.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

You sound like an elitist for dissing NPs.

I decided to switch to seeing NPs becuase it was taking over 2 months to get an appointment with my PCP that I had been with for over 10 years. I absolutely believe those that are frustrated that health insurance palns fail to set folks up with a physician that will see them in a timely way. I'm sure they could use technology that would show the scheudles for all their available doctors in an area and help members get set up with that doctor, but for some reason they act like it's impossible and instead members have to call and call and call to track down a PCP.

ANyway, I decided to instead go with One MEdical which costs $200 per year and uses NPs. They have a great app that shows the availability of NPs and their locations. Very easy to use.

Plus I feel like the NP is actually better than my PCP-- takes more time and listens to be and asks questions beyond just the exact reason I scheduled the visit.

I encourage you to reconisder your take that NPs are "less than" PCPs-- my NP is just as able to refer me to a specialist as a PCP.

And you sound like a pretentious dbag who makes grand assumptions regarding someone’s health whom you have never even met in real life. How do you know I don’t t have very complicated medical issues and a rare disease? NPs are ok for cuts and bruises. When things are more complex, I want a doctor please.

Well, my personal experience as a person with a very complicated medical issue is that a NP was just as good as a PCP at advising which specialist to see-- and really actually better because I didn't need to wait for months to see the PCP.

Or maybe just contact specialists directly to be seen? It's possible you don't need the approval of a PCP to see the specialist.

I agree. I've had very good interactions with NPs.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.

We are self employed. ACA enabled us to do so because we don't want to go without health insurance. Dh has a congenital condition that is considered "pre-existing". When we wanted to go back to being self employed, we couldn't because of the pre-existing condition.

We actually had private health insurance long before ACA, and it was expensive then, too.

NP: we have always had private insurance and good policies were always expensive -but ours doubled after ACA- we have no pre existing conditions (not then, now now) so got easy coverage at a much lower rate. With ACA all pay the same…a big win for some but a big loss for others.

[Anonymous]

Obama is a politician. I’m the context of his political party, ACA was a huge win, of course it helped some people. It’s also going to hurt others. The system is broken so take it all with a grain of salt: ACA didn’t improve things for all, it tried but couldn’t. He had good intentions but he knew it was a political move as well. It is what it is - we aren’t going to be able to change the system. Things have to get worse before better or maybe never at all because too much money is being made that we can never undo the foundation of healthcare for profit in this country. Accept that as it’s true. It sucks but it’s still true.