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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The ACA was fundamentally flawed and everyone, including the Obama administration knew it. There is no point in using band aids to deal with the flaws. Just repeal it and come up with a structurally sound alternative.

As long as the flawed ACA is allowed to continue with fixes, the less likely that it will really be dealt with in a serious way.[/quote]

Name the alternative. The ACA was the GOP plan. The GOP has now rejected it because the black guy installed it.

So now what? Can't go back to what was before, and the ACA is now dead. What do you suggest?[/quote]

Too much to cover in a post but basically:

- We need a public option - not single payer
[b]- [b]Insurance across state lines should be permissible[/b]-Obama would not allow very logical association group plans.[/b][b]
- People who make lifestyle choices that jeopardize their health pay more eg those who are overweight, smoke, don't go in for medically recommended screenings, etc
- Pharmaceutical prices MUST be negotiated and, if needs be, the option should be available to purchase from a different country eg Canada - but subject to it being from approved sources to deal with quality issues
[b]- States should be allowed maximum latitude to develop their own health financing and delivery mechanisms [/b] Medicaid should be standardized based on zip codes and colas.  Use the federal pay scales-boost in high cola areas.  Each state can then choose to expand or not expand using state taxes [portion for expansion isolated from any federal tax deduction.  Then if CA wants to include illegals I am NOT paying for it.

Public health clinics-feds require state funding but again states pay for it beyond a federal contribution based on historical usage.  No federal subsidy for illegals.
- It should be mandatory for every American to have health insurance - the half-assed approach that ACA took with minimal tax penalties was ludicrous..  Plus Obama let people keep plans for a few years on a grandfather basis.  Obama ignored basic underwriting.  
. What will it take for people to get it into their heads that ACA in its present form will never be viable? It is structurally unsound and the temporary fixes that the Democrats want will just make things worse over time......

What Trump's EO order will do is to accelerate the process of implosion which is hardly desirable but given that neither side wants to address the issue without budging from their respective positions perhaps this will cause enough of a reaction to compel serious discussion and negotiation.

BTW, my background is in health care administration and we knew when ACA was passed that it was a matter of time before it would fall apart. [/quote]

I also have a background related to insurance and knew it would implode.  Unfortunately everyone had to be so PC about anything Obama did...[/quote]

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