The ACA also offers a real chance to bend the cost curve in healthcare. At its worst, it’s a start – and something that can be worked on as time goes by. Every law can be amended. But what the ACA does at its core is bring everyone into the same boat – and a bigger pool is always better for insurance purposes. That’s both a moral and a fiscal gain. I can see how it could be amended. At some point, we might be able to get rid of the employer subsidies and expand the individual market considerably. Or we could move to a single payer. But it will force all of us to grapple with this question more directly and more practically. If you don’t see it as a panacea but as a baseline for the future, it looks better. What I’m saying, I guess, is that we should not miss the forest for a few rotten trees. If they get the website working, if more people get to sign up, if premiums remain below what was expected … then we will have a very different debate than we are having right now. And look: this is the law. It’s not a project we can simply ignore. But it is a project we should see in perspective – which our current partisan brouhaha is obscuring.
Posted on: Thu, 31 Oct 2013 16:37:46 +0000
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