As my readers can see, it has been quite a while since my last posting on the site. I apologize, as a lot of life changing events occurred over the previous months. I was offered a great job outside of the State of Louisiana, and I took the offer and ran with it. I am currently in Texas, but have continued to look at Louisiana's politics and National politics as well.
The Abysmal Care Act
As you all know, the Affordable Care Act has failed us all already. Let me count the ways that the President has screwed Americans. First, Medicare (which was a failure considering the staggering cost compared to the modest services provided) was stripped of crucial funding for the elderly back when the Abysmal Care Act was passed.
Second, basic care healthcare plans have been kicked to the curb for not providing birth control and maternity care coverage, not to mention the plethora of other services mandated by the Abysmal Care Act. Sorry, as a single male, I do not feel that these two services help me personally at this time. Therefore, as a prudent shopper, I would like to choose healthcare plans that cater to MY needs, not GOVERNMENT'S needs.
Third, the healthcare website debacle is merely the beginning of even more pains for people trying to survive in a post-ACA passage world. The problem with the site is only a testament to the hubris and unmitigated gall that our Fuhrer continues to show. It comes to light that the architects of the website barely consulted organizations who worked on similar concepts in previous projects. The architects thought they could conceive everything that could go wrong and thought they could preempt them all. As always, this President and his circle of rubes were terribly wrong.
These are but a few problems with the ACA as it currently stands. There are structural issues that people much more trained than myself can explain.
Republicans and the ACA
Let's not completely pile on the Democrats and their puppet, Obama. We all know that the Democrats set this up for failure, in an attempt to woo the people to accept a single payer system. We all know that the Democrats want this to fail to show that there is just no other solution than HillaryCare.
What the Republicans are doing is not as sinister to the system, but just as sick. Republicans all over the place are talking about just letting ObamaCare fall apart on its own, THEN the people will run to the Republican ticket and they will have the 1994 Republican Revolution all over again. First of all, that will not happen because those Republicans actually had some morals. This set of Republican leaders are willing to let the house burn down just to spite the President and to tell the American people "I told you so." What will Republicans tell people without insurance and pass away because of it? "Sorry, I didn't want to abolish ObamaCare because I wanted to prove a point." It is callous and stupid. It is also a bad strategy to win in the ballot box.
Further exacerbating the seeming ambivalence toward fixing the problem, we have Republicans at the State level doubling down on the shafting that the Feds are doing through the ACA. Republican governors across America refused to establish the state-level exchanges, thus cutting off people from access to any insurance at all (especially those in moderate to low income tax brackets). Sadly nearly 60% of the uninsured people prior to the ACA passage lived in the states that do not have exchanges. Then, as if the Republicans didn't have enough fun doing that to the people to create the political theater, they refused to take the Medicaid money provided by the Feds to extend the rolls of Medicaid to the lower middle class (these States make up nearly 70% of all poor who would be eligible for coverage). Republicans said that it was going to force the states to bankroll Medicaid at a higher level (yes, in 5 years, but not now).
What Republicans Should Have Done
Republicans should have quickly placed the exchanges in place so that people could continue to have health insurance and not worry about if their children were covered. There is a moral duty to protect your electorate, a duty that Democrats and Republicans severely discounted. Republicans should have taken the money to extend the rolls of Medicaid, as a second level of protection for people during this trying time for families. It is hard to function when there is so much uncertainty for the average family. It would have been fine to extend the rolls because for the first three years, the Feds put up 100% of the money. Within three years, Republicans could muster support to overturn the Abysmal Care Act, roll back Medicaid, and reinstall the previous insurance system. In fact, Republicans could have set up a legal regime to break down the walls that keep insurance companies hemmed into individual states, allowing people to comparison shop nationwide.
The Republicans wouldn't do that because it doesn't make good theater. They need you to suffer, they want you to suffer. The entire system is corrupt and it is time for people to stand up against both parties today.