He was paying his way out of debt. How does that squarely land him in the “he can afford this” camp? By that logic, there is an extremely low number of people who can’t afford it, so long as they have salary enough to cover health care. Other expenses just take the hit.
Because the savings are largely disconnected from the meat of the law, which was presumably intended to get more people insurance coverage. One could realize these savings without the coverage provisions of the ACA, and the coverage provisions, per the CBO, add to the debt. The “lowering the debt / budget neutral” jive is tiresome. You don’t insure previously uninsured people with enormous subsidies, expansions of Medicaid, etc., and save money. The only way to obscure this fact is to bundle the coverage with unrelated cost cuts (e.g., Medicare), cost cuts we could have realized without any ACA insurance coverage.
It’s like saying you’re in enormous debt, but you’re going to buy a huge flat-screen TV. “You can’t afford that,” we might counsel.
“I can’t afford not to,” you counter. “Because you’ll see that my ‘Affordable Flat-screen Super Goodness Money Saving’ Plan includes the fact that I will decrease my monthly grocery and entertainment expenditures by 50%. Check the math, within 10 years, I will have reduced my overall expenditures.”
“Why not just do the expense reduction part? You’re in enormous debt, you know.”
“Because it’s a package! Granted, I’m the guy that created this bundle of activity. But we’d all agree, I’m sure, that it’s fiscal insanity not to pursue a package that simultaneously increases our general well-being while reducing our debt.”
If you don’t like the analogy because televisions pale in comparison to providing health care, fine. Then say it’s worth the expense for the social benefit, even if it costs a lot of money. Enough with the “how can we afford not to have ACA” nonsense.
ACA thus far largely insures people who were already insured, at great expense, an expense that’s offset by reductions that we could have pursued without the additional ACA expense. It’s an enormously disruptive piece of legislation. But at least we showed those deadbeats they don’t have us taxpayers to take advantage of any more!