What Now For the ACA?

Yeah. What are you good for, anyway, except a gullible vote?

In the sense that you did anything wrong, probably. But your real crime was to trust 50M of your compatriots not to be stupid assholes.

So even if people are generally agreed on what will happen, nobody thinks there will be significant political consequences? Those sick and disabled people will just die quietly, the uninsured will go bankrupt, and not enough people will care? Yes, it did happen before, but the fact of it happening CAUSED the ACA to begin with!

Now that the status quo has been broken, however briefly, I don’t think it’ll just settle quietly back, especially when the status quo was broken enough to get people seeking government remedies like this to start.

Meaningless votes are not actual attempts at repeal. Obama voted against raising the debt ceiling, that doesn’t mean he actually wanted the country to go into default. Those 50+ votes were gestures.

Yes, I hate to say it, I really do, but it does appear as though you are pretty screwed. Maybe the republicans will leave something to the bill that does not condemn your wife to a painful early death life like F-P seems to claim, but I have not seen any evidence of it, and though he claims that he would be shocked if it came to pass that way, he can show no reason why the republicans will not do exactly that.

It’s what they said they would do. It’s what they have tried to do. It’s what they want to do. It’s what they promised their base they would do. To have any thought that that is not what they are going to do is ridiculously naive and ignorant.

They do not care about you, your wife, or anyone else who is sick, or will get sick, and not have a way to pay for not dying. They do not mind that their actions will result in the deaths of thousands of people, the reduced lifespan and quality of tens or hundreds of thousands more, and bankruptcy for hundreds of thousands if not millions of Americans.

People who voted for the republicans, or even for the independents, are entirely to blame here. That they are now shocked at the consequences of their actions shows that they are even less competent and observant as their dear leader Trump.

Goddammit. I’m a fairly middle of the road political guy. I’ve voted for republicans in the past (I liked the McCain that ran against W in 2004) but this shit scares me. We voted for HRC.

If they cancel the ACA I don’t know what we are going to do.

Fuck.

With no GOP votes, and unbelievably strenuous attempts from the GOP to prevent it from passing. Note that they didn’t propose anything better to solve the problem then, and they’re not going to now.

Your confusion is that you seem to think that it has anything to do with providing health care. It doesn’t. This will be a huge political win for Republicans – their base believes that the ACA is evil, and it undoes the signature act of their hated enemy, Obama. Ignoring the nonsense about the Border Wall, it’s the primary promise of most of their campaigns.

There is exactly zero chance that it won’t be repealed. The people that repeal will harm are entirely irrelevant to the GOP. They’re “weak” and “lazy,” remember?

And if someone happens to be against ACA, and its repeal happens to hurt that someone, it will be “their” fault anyway. Obama’s, Hillary’s, Bill’s roaming dick or the aliens escaped from Area 51, it is “they” who are to blame.

Again, I’m not questioning a repeal happening. I’m questioning the idea that ending a multiple year break in a status quo many already found untenable and causing as much pain and suffering as Democrats fear will result in NO significant political repercussions.

Yeah, but they never expected they would have the opportunity to do it.

After what I saw last night, I have very little faith in people seeing through cons or scams. I wouldn’t be surprised in the slightest if millions who lose their health insurance blame the Democrats.

Maybe move to a Blue state that keeps it going with state subsidies.

I’m already in Oregon. I was born and raised in Texas. We left because the police shot the valedictorian of the High School 7 Doors Down from my house. He was in a Walmart and was running from people that knew he got a brand new cell phone for being the valedictorian of his class from his family. He was shopping for cell phone cases and when they tried to jump him in the Walmart he took off running screaming help. Unfortunately he was still clutching a cell phone case and as he ran out the front door of Walmart, a off-duty plainclothes dressed police officer jumped him as well and after a struggle shot him in the back of the head as his body was laying against the curb.

They called the officer a fucking hero. I’ll give you three chances to guess the race of the kid that was killed. It rhymes with batino

But my mom and pops are still in Texas. They were afraid of this election and were trying to move up here. I wonder if they’ll still be able to do so. Their realtor that was trying to sell their house or in them if Trump got elected there was likely to be a de-valuation of her their house.

If causing pain and suffering had political reprecussions for the GOP, yesterday would have been very different.

Yeah, but here we’re talking being a public and proximate cause. Before the ACA, those people were victims of the status quo. Now, they’ll be a direct victim of whoever repealed their insurance. All those people are just going to die or go bankrupt quietly, and not make a ripple anywhere else? We wouldn’t have had the necessary political drive for the ACA in the first place if that were so, IMO, considering how unpopular it was and is.

Either way, I do agree that the Republicans will likely get what they want, and a more interesting topic is the state of the system in general going forward.

This.

I give the ACA until mid-summer at the latest until it is basically rendered inoperable by Congress. Contra others I do not foresee outright repeal because that would require buy-in from Democratic senators, which won’t happen.

This is the greatest political travesty of my lifetime. American Exceptionalism at its finest.

Still, the ACA will continue in states where it is working successfully. I don’t anticipate that Covered California, for example, is going anywhere. That said, it’ll be reliant on state-based individual mandates and subsidies, and I don’t know whether expanded Medicaid will be in the picture at all.

Like Wesley Clark, healthcare is my number one domestic issue. Unfortunately, the election of Trump just means that for a brief period of time (i.e., Obama’s eight years), the US flirted with the idea of UHC before going back to its old terrible system. Democrats will not touch this issue at the national level again for the next forty years.

Still, the ACA will comprise a significant portion of Obama’s presidential library, so we can all reminisce about it in perpetuity.

Barely had the drive for it when it was passed. And it was pushed pretty hard by a number of people that really wanted to see Americans get healthcare. Every one of those people were democrats.

Republicans have had plenty of opportunities to improve the lives and health of their constituency, they have demonstrated time and time again that they have no interest in doing so.

What makes you think that that is going to change? What makes you think that republicans are going to reverse decades of being against healthcare for Americans, and suddenly flip to the progressive position?

I would love to see why you think these things, as I would like to be comforted against the future, but I feel that the most realistic scenario is that it goes back to how it was before ACA. And when insurance premiums continue to go up, they’ll blame obama.

Partly because I don’t share the necessary premise that the Republicans don’t care about anyone’s suffering, and partly because it would be politically advantageous for them to avoid disruption to the extent possible, as well as keeping popular elements of the plan.

I’m not saying that conservatives will suddenly become progressive. I’m saying that they have to do SOMETHING effective, and that doing nothing isn’t sustainable, politically or for the entire health care system at large, especially now that millions have gotten a taste of the other side.

I’m also saying that by their sheer numbers, those millions do have some kind of political effect (not necessarily clout, but effect). I’m not looking for Republicans to become human - just be affected by political forces.

Well, hopefully, the people will look at the situation and realize how much the republicans have harmed them. They have a history of being lied to and believing it entirely though, so I don’t know that I have much hope for it. When their base lose their insurance, and are dying or bankrupted, they will believe the republicans that it is all obama’s fault.

Like I said, I hope you are right. The fact that everything that every republican has said over the last 6 years disagrees with you entirely. There has never been a republican say any of the things that you are claiming they are for, they have in fact said the exact opposite.

If you are right, great. My fears of the republicans following through on their campaign promises are unjustified. I just can’t count on them not doing what they have been trying to do for years, just because they are suddenly able to do it.