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

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.

[/quote]

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. [/quote]

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.[/quote]

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