This is the 25,000 pound elephant in the room. Trump won't spend Congressionally appropriated money; he unilaterally impounds it. |
Get government out and market forces in. Competition between the states. Drop the subsidies. The inherent pricing by insurance companies and medical establishments subsumes all subsidies and prices it right in to the service. So subsidies are like pure gravy to the industry. If a procedure is $150 and the government tries to lower it by $50, the industry will just price the procedure at $200 (or more). This is like a treadmill. You're on it and don't know how to get off. So all your answers are just raise the subsidy higher. Why do insurance companies and medical establishments do this? It's a really simple answer: because they can. |
I get that. I as a republican are telling you to cut ACA off. What's so difficult about this? You keep telling me it's red state heavy. I agree. NOW CUT IT OFF. We have virtually no market forces anymore, it's a super rigged game and Wall Street is getting fat off of it. |
Says a well-off moron. Your compatriots in your state who depend on the ACA disagree with you. ACA is not getting Wall Street rich, or anyone else. Governments have a duty of care, and market forces do not. You're an uninformed idiot if you make sweeping generalizations that anything you don't like is "rigged" and someone else is profiting off whatever it is. |
Why doesn't it necessarily work that way in other developed countries with universal health care? |
59% of your fellow republicans disagree. https://www.forbes.com/sites/brucejapsen/2025/10/03/nearly-80-of-americans-and-most-maga-republicans-want-aca-tax-credits/ |
2/3s of the states can't afford or do anything, most of them red. So, sure, that is great for NY, CA, IL and the new england states, but everyone else would be screwed, particularly when your would have east coast and west coast compacts and the red states would flail on their own. |
Last year, the average U.S. employer spent more than $19,000 per employee to provide family coverage while the employee kicked in $6,000, according to KFF. The total average family premium of $25,572 has increased 52% in the past decade. https://www.kff.org/health-costs/2024-employer-health-benefits-survey/ |
Cut it off and, what, just let people die in the streets? |
No, they wouldn't be screwed because prices would better match reality than a subsidy from the tax payer (which leads to endless money creation and borrowing by the federal reserve). |
Cut out the Rick Scotts of the world and half the problem would be solved...IOW, move to Universal and away from the ACA. |
Of course. That's your answer to everything. "If you don't give us what we want, people will die in the streets."
It's so trite. |
the GOP has been baiting for more than a decade some magical replacement for the ACA. Where is it? What is YOUR solution? |
so you think a company would charge a different price for a product or medical service in one state over another? That is unrealistic. |
They replace it with rationing. Canada, which supposedly is the best socialized medicine, has wait times of over a year for MRI and CT. Many go to Seattle, Michigan, Vermont as an escape valve. |