Passing the racket onto an intermediary and then dumping it on the consumer is part of the scam. Medicare needs full market share so it can bring all the prices down since no one will RICO Act providers, for profit hospitals, and insurance companies passing that cost in addition to 13% extra for administration costs onto you even with the ACA. Forcing you to participate in this scam is what we call Obamacare.
Some won't get screwed as badly now, but it's still a screw, and we need not to pretend otherwise since none of these price hikes are justified and no one is asking that they be justified at all. So essentially some people are celebrating injustice in a racket as if the mechanism that needs to be controlled for a health care system to work -- as it does in most other OECD countries -- is part of this equation at all. It's not. Please learn this or make an effort to before celebrating Dolecare and Heritage Foundation care.
The scam is not regulated at all, only the payment structure in the intermediary, and that will fall onto you and I eventually. This is despite some of the anecdotes about how much cheaper it is now, in blue states, but not in red states where many people are not benefiting and having to watch their children die -- where Obama's pick, Justice Kagan, voted with the Roberts court to screw people like in my state; poor people who fall in the ACA gap and now won't benefit from the Medicaid expansion. Once, again, Glenn Greenwald warned the President and his defenders, but he and the dumb shits cheering him on like lemmings, decided to cheer her being picked for the nod. And because they did, she destroyed Miranda rights, too. So I was never whoopty doo about her.
I am also fine with whatever life saving benefits come from insurance reform in the absence of real health care reform, but we were not sold insurance reform in the primary. Some of you were there. Some of you remember the rhetoric, I mean, lies from the president about the public option he traded away in a deal with for profit hospitals, like working with Max Baucus to throw single payer advocates out of the Finance Committee hearings. If we were just going to get insurance reform based on Republican ideas, the president and everyone in Congress, including the liar sellout Nancy Pelosi should have just told us.
Some of us were/are disgusted at the initial sellout of real health reform, but would have put up with passing insurance reform that is helping some people right now, but not the mandate. The mandate is a BS insurance company bailout. No one has shown convincingly that this rapacious death by spreadsheet industry needs a bailout like this. And even if they do, fuck 'em. Society would be better if they went away. After Democrats sold their whole constituency out, again, we were like, fuck it; pass this insurance reform, but don't make people sign up for it.
There is no reason we could not have gotten rid of preexisting conditions and demanded lower premiums and deductibles(oops, not so much) besides believing a bunch of lies from a monopoly that pulls the plug on people for profit. Also, it all depends if your insurance commissioner decides to act right. They might, but nothing is guaranteed, and for how long. Until the prices of services come down, which they won't in a serious way under this system, these huge monopolies will find a way around the regulations as they have before, like the TBTF banks do who had a hand in writing Dodd Frank just like insurance companies and big pharma had a hand in writing the so called Affordable Care Act.
So I am glad it's working out for some people who are now getting care, but mandating that people buy an insurance plan from a monopoly or duopoly is not the way the rest of the 30 million left out of this equation will get there. This matters because history is not kind to this notion which is why the The McCarran–Ferguson Act should die, and instead, the House's anti-trust amendment placing health insurance back under the Sherman Anti-Trust Act -- now practically dead so we should also resurrect it -- should live. After all, it would have been adopted if we were going to have any hope at all that any good prospects, choices, or networks -- or anything worthwhile in this for profit hell -- would even exist or last.
Also, the ACA making single payer illegal until 2017 is a hell of a way to pave the way for single payer. I'm a little bit tired of that talking point. States already had the right to create their own health care systems (like Romneycare). Right now, VT can't implement the single payer plan that passed their legislature and was signed by their governor until the waiver in 2017 to get out of the mandate. How many people will die before that happens? Probably quite a few.
So no, we didn't want insurance reform to die, even though we -- unlike some idiot sycophants who think they are special for loving whatever their leader tells them to love even if it's a Republican health plan -- do not like Republican health care plans that don't prevent bankruptcies as advertised. We just don't think rapacious predator like industries should exist. This industry is doing nothing to lower the cost of care, only pooling resources to pay the extravagant cost set by the chargemaster toy that gives free money to monopoly price fixers by mandating that people buy a plan or pay penalties.
So, this bailout may work out for awhile, but the dynamics are there for another full blown health care crisis. A crisis that we will have wasted like we did when we should have temporarily nationalized the banks, cleaned them out, thrown CEOs of TBTF banks in jail or at the every least had the justice Depart pursue criminal referrals to make an effort after the housing bust.
The leverage was there to pursue Medicare for All. The President and his lackeys in Congress sold out this health care price lowering solution -- one that takes the place of insurance companies and HMOs -- lowering the actual price of care where the 30% of administrative costs from private insurance don't even have to be there on top.
I don't know if or when this racket will ever truly stop or if we will ever get a health care system we, as a people, deserve.