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[quote=Anonymous][quote=Anonymous][quote=Anonymous]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. [/quote]
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.[/quote]

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

https://www.nytimes.com/2008/07/23/us/23health.html

We were also promised better health outcomes and that hasn’t materialized, either.

The ACA, like every other progressive dream program was supposed to unleash real savings, better health outcomes and make our economy skyrocket (remember how entrepreneurs were now going to be freed from corporate slavery after the ACA passed?).  As is always the case whether it is education, welfare, immigration or whatever other problem the left is convinced they can solve, rosy projections based on partisan studies led to badly flawed policies with shortcomings blamed on the GOP.

The harsh reality is that if you want lower health costs and better health outcomes, it has very little to do with the healthcare system. You simply need Americans to live healthier lifestyles. Diet and exercise would go a long way. I know, much easier said than done. Eventually progressives will get single payer and, right now, sight unseen, I’d be willing to bet everything I own that it will cost much more than predicted and fail to live up to its promises, with a decent chance of making things worse in the process.  This is pretty much how it always goes.

As for OP, part of the problem is that the ACA incentivized consolidation of medical practices. The independent provider has all but been lost to history with a shockingly high percentage of primary care practices actually owned by private investment capital (PE firms). That is, without a doubt, the fault of the ACA.

Again, I love the optimism and failure to learn from history: the very employer based health insurance system we all loathe so much is a legacy of FDR and his intervention into wage markets. I’m sure government intervention this time will work as planned. [/quote]

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