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View Diary: Why ACA Failures Hurt Democrats (Beyond the Obvious) (43 comments)

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  •  Another gloom and doom diary (2+ / 0-)
    Recommended by:
    SingularExistence, arlandbaee

    on the ACA.

    Is there nothing positive that you can say?  How about a mention for the all the people who can finally get health insurance?  All those folks who had nothing but the emergency room?  And isn't it wonderful that once and for all in this country we have established the principle that everyone should and can have health insurance?

    So there are glitches.  The more we lament them, the more we play right in to the playbook of those who are trying to take down the Democratic party and its president.

    It's the Supreme Court, stupid!

    by Radiowalla on Thu Nov 14, 2013 at 07:29:17 PM PST

    •  I think it's important to be realistic (6+ / 0-)

      I mean, we can deny the problems, but that happened in 2010 and it was a wipeout election.

      I agree with what Kos said, pass the Landrieu bill.

      The Dems should focus on making the ACA transition less painful, or there will be another major backlash in 2014.

      •  No one is denying the problems. (4+ / 0-)

        Certainly not the Republicans, certainly not the media, and certainly not this website.  I feel strongly that we can't just keep going over and over the same lamentations and expect to get anywhere.

        I'm just suggesting that a little focus on the positive would help to reframe the issue into one of hope instead of calamity.

        That's all.

        It's the Supreme Court, stupid!

        by Radiowalla on Thu Nov 14, 2013 at 07:39:43 PM PST

        [ Parent ]

        •  The positive is Medicaid (0+ / 0-)

          But I do think there's been a decent focus on that, certainly on this site and even a fair bit in the media.

          •  How is a Medicaid a positive? Sure it's great (0+ / 0-)

            That more people will be insured, but if that insurance is Medicaid, that means there are more Americans living in poverty.

            •  Well, sure (0+ / 0-)

              I guess it's bad to have to turn to Medicaid, but on the other hand the new people enrolling in Medicaid likely have little or no health insurance now. So all those people are newly covered.

              But yes, it's economically bad so many are on Medicaid. It's also bad because those people are not bolstering the private markets, which'll raise premiums for everyone else while also increasing taxes to pay for Medicaid. That could be a problem for state and federal budgets down the line and make the marketplace less attractive.

              So yeah, it's a mixed blessing even there. Don't blame me, though, I was never a fan of this ACA without a public option and relying on private insurers to expand coverage.

              •  Medicaid expansion will increase premiums and (1+ / 0-)
                Recommended by:

                Taxes?  So that's why my premiums have gone up every single year for the past decade?  It's the Medicaid recipients pushing up the price of private health insurance.

                That doesn't even make sense.

                •  You misunderstood me (0+ / 0-)

                  If the net result of ACA is a private insurance market with few customers, while massively increasing Medicaid enrollment, that will result in higher premiums on the exchange compared to if those same customers were able to afford exchange insurance, i.e. the risk pool will be smaller and likely sicklier, and premiums will be higher.

                  The expansion in Medicaid also costs federal and state tax dollars.

                  I'm not commenting on rising premiums over time, which have a lot of economic reasons that have nothing to do with Medicaid.

                  And I'm not blaming Medicaid people. I'm just saying, the ACA reform has this 1-2 punch of private subsidized markets and Medicaid, and that if Medicaid proves unexpectedly popular while the private market fizzles, that'll result in higher than expected taxes and higher than expected premiums for non-Medicaid customers.

                  •  So to be even clearer (0+ / 0-)

                    I'm saying ACA will raise costs everywhere, and I blame the lack of a public option, overpriced private insurance, and an overreliance on Medicaid expansion for its problems.

                    It'd be so much easier NOT to have to rely on private companies to deliver affordable health care, because they've proven for decades that they can't control health care costs. At all.

                    •  so the care is (1+ / 0-)
                      Recommended by:
                      Liberal Jon

                      less affordable, or at least it would be if people could access it.

                      it looks like democrats should be happy that only a third of the senate is up for election in 2014

                      •  For the moment, it's more affordable (0+ / 0-)

                        ...if the insurance is largely subsidized.

                        But that's not the case for most people in most places.

                        From what I've seen, the private insurers are offering more expensive plans on the exchanges than they do on the private markets.

                        Why? Because they're counting on those federal subsidies to pay the difference. Basically, they make more money by charging more and letting the federal government pay that extra cost.

                        Which is why relying on the same insurers that have driven costs up astronomically for decades was such a fail prescription from the beginning. The subsidies just give them a license to be even greedier.

                        As for Medicaid, it's a bright spot, but will it be politically sustainable when the tax bills come due, while those without access to Medicaid can't find affordable insurance and the employer-provided insurance continues to inevitably unravel.

                    •  Perhaps the fundamental idea of the ACA is to (1+ / 0-)
                      Recommended by:
                      Liberal Jon

                      Show the American people that private health insurance is true problem.  That the high cost of health care is due to the high cost of insurance, not the health care itself.

                      Private companies do not deliver affordable health care.  They deliver raise the price of health care.

      •  Since the ACA is a federal law, perhaps everyone, (0+ / 0-)

        Democrats and Republicans, should be trying to implement the law as best they can.

    •  I recently wrote a diary asking people to write (6+ / 0-)

      letters to the editor about the ACA to counter the negative Republican spin

      But it appears that we are losing the PR battle on the ACA right now, and while I hope that the Democrats are able to change that, I thought that it was important to write a diary so that people could be aware that there is more at stake here than just the ACA.  

      •  Good for you! (0+ / 0-)

        I think everyone here is well aware of the dangers ahead.  That's why we have to turn the discussion around and reframe it.  Rachel did a pretty good job of it tonight.  I forget her exact words, but she talked about how horrid it is to wish to deny Americans health care, how horrid it is to stop them from receiving care.  It was very effective, in my view, and I wish we could do more table-turning on the Republicans.  

        It's the Supreme Court, stupid!

        by Radiowalla on Thu Nov 14, 2013 at 07:44:51 PM PST

        [ Parent ]

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