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[quote=jsteele][quote=Anonymous]i hope this turns into such a disaster that single payer is enacted.

increased access to health INSURANCE is useless.....direct cost control is what is necessary. we need to focus on increased access to actual care required. 
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I support single payer as well, but I think you have to be incredibly naive to believe that single payer would be the outcome of an ACA disaster. Much more likely would be a resort to Republican ideas such a tort reform and allowing insurance to be purchased across state lines. That would only increase the power of insurance companies. You might get cost control as insurance companies flex their muscles in that case, but the same is true of the ACA.

A much more likely road to single payer is for the ACA to be successful and small steps are taken to resolve specific issues. For instance, if affordable plan are unavailable, maybe a public option could sneak past Congress. If that plan eventually displaced private offerings, you are on your way to single payer.

Also, the ACA does have measures aimed at cost control. What do you think all the talk about "death panels" was about? While death panels are a figment of the right's imagination, there is a panel that is supposed to do cost-benefit analysis on treatments and make recommendations for saving money. Even the restriction of insurance companies' administration costs has resulted in refunds to many companies and individuals. 
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