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Reply to "DC Health Exchange- all options are really expensive?"
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[quote=Anonymous][quote]that's a great story. I'm genuinely happy for your little niece. however, why couldn't O then just come out and say....look, young or healthy people, you need to pay more so those less fortunate can be helped. AND why did he not combine this with government intervention on the cost side of medicine? remember even in medicare, the gov cannot negotiate to drive down costs for pharm. I think if he proposed a COMPREHENSIVE solution...one that attacked access, supply, and cost issues....everyone would be more accepting. [/quote] Actually, access, supply, and cost issues are all part of the ACA. Some of these things are long term and won't be fixed overnight, but there is definitely more to the ACA than subsiding the less healthy via the more healthy. As far, as the "young and healthy people, you need to pay more so the less fortunate can be helped," my understanding from the beginning was that this would be the case--and part of the way to bring down costs overall--and it's no surprise to me, but I'm a news junkie. I truly think there is a lot of good coming out of the ACA in the long run, however it is somewhat of a mess because private insurance and employer based insurance are still so popular. Ideally, I think we should have a single payer system or at least a public option, but this was the best that could be done in this political climate. I fear, though, that part of the issue is that navigating this complex system is going to become untenable to those who are not savvy about reading the fine print.[/quote]
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