the hospitals win and the Insurance lose
Pre exisiting illness denial is over

Once people get aload of the better care....universal health will be next

we kicked the Republicans Butt!!!

than I could ever possibly hope to.

Wasn't he one of those critics from the left?

Also, congratulations on being on the show. I've got to watch.

for understanding the end result we all desire will only come
in small victories. Not such a small victory for the families
the ACA has already significantly impacted like my own.

Lets do it!

Don

I hope MM is right.

I can't/won't rest until every American who needs it has access to affordable, easily accessible, competent care.

I can't see it,
though many DUers are making that claim.

HOW do we move from:
Every American MUST buy Health Insurance from For Profit Corporations

TO

Publicly owned, government administered Health Insurance for every American?

I really can NOT connect those dots.
For all the World to me,
it looks like the only way to move from ACA to Medicare for All
is to UNDO the ACA.

What am I missing?
Where is the next step?


It was easy to expand Social Security & Medicare.
Those programs established a foundation,
but WHERE is the foundation in the ACA?
What is it we can build upon?

I guess I'm just not very smart.
Please point it out for me, step by step so I can understand.


You will know them by their WORKS,
not by their excuses.
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A few will start single payer.

Americans have a long history of hatred for the middle man and love of a bargain and to their shock they will discover that despite the current Republican frothing at the mouth that they are not going to see their taxes go up but instead they'll see the government pay a LOT for their care.

In time people will see single payer is even better and governors will see those states get more federal funding to boost Medicare and follow their example to close their own budget holes.

Republicans aren't going to be able to RUN on their opposition to Health Care anymore after it kicks in and they KNOW IT because people will LIKE IT. That's why they were making things up about it in a desperate attempt to kill it early.

If it never went into effect their mythology about what it was they heroically prevented would have been woven into their history. It would have been right up there with their claim to have won the Cold War with Reagan's magic cowboy hat and mighty mouth.

I know there will always be tax grumps out on the fringe but there WILL come a day when government run health care will be as controversial as government run street lights.

My Internet has been out since a storm came through here yesterday.

Plus, you did a lot better job of explaining it than I ever could have.

Don

Those Tea Party guys got a dose of REAL "Founding Fathers" reality as they worked without AC too.

I guess we could tell them it was cooler back then.

It would have been easier to simply expand and increase the funding for these Non-Profits
without channeling $BILLIONS$ into the pockets of the For Profit Insurance Industry.
This will ONLY make the For Profits stronger.

Perhaps a handful of the wealthier states without a large Low SES population might be able to produce a workable Public Option,
but without the scale of a national plan, their local Public Option will have a difficult time producing any real cost advantage especially with set up costs, a small risk pool, economic targeting by the Large For Profits, and redundant paperwork and processing overhead that would to be duplicated by each state.
Even the much vaunted National Public Option was estimated to produce less than 10 Million customers...Nationwide. Divide that by 50, and tell me how any local Public Option can succeed.



We will see how "The Exchange" works out,
especially without a Public Option "to keep them honest".
I don't see the Insurance Cartel competing internally against each other.
They are setting the prices and Xeroxing the Coverages as we speak.
They won't undercut each other.
There will be no deals on The Exchange.
They will simply divide up their mandated "customers" and keep doing what they do,
make money by denying sick people access to Care.
The "regulations" will be as effective as the "historic regulations" were at reining in the excesses of Wall Street,
and our AG has a very weak, weak track record of enforcing the LAW on RICH corporations.

There will be 40 - 70 MILLION (estimated uninsured by 2014) mandated into The Exchange in 2014. They will be forced to buy "Bronze" (junk) Insurance, and most of these already struggling Working Class MILLIONS will have to come out of their empty pockets to pony up the Premiums, even with a partial subsidy.

I don't believe very many of these MILLIONS are going to be happy.
The WILL Blame-the-Democrats,
and rightly so.
They passed a Republican Plan without forcing the Republicans to take ANY responsibility.

Like I said, we will see in 2014,
but MY crystal ball shows a Perfect Storm brewing,
one that will produce a Republican sweep in 2016 because,
"We voted against it!"

The dots still don't line up for me.
Passing a LAW that MANDATES every American to BUY Health Insurance from For Profit Corporations on the hope that some states might produce a workable Public Option
seems like wishful thinking at this point.
We have NOTHING on paper,
not eve a firm promise.

Looking at What we have NOW,
and what we are hoping might happen in the future is NOT good planning,
and doesn't make me rest easier.

Making the For Profits stronger, richer, and more powerful looks like a step toward Privatization, not a step toward a Public Plan.
We could very well be STUCK with the Mandate and NO Public Option for a long, long time,
especially if 40 -70 MILLION people are pissed at being forced to buy something they either can't afford, or don't think they need.





The irony is that my Wife and I will benefit from the ACA.
We live on a laughably LOW "taxable" income in an area with a low cost of living,
produce most of our own food,
heat with wood,
drink from a spring,
build everything ourselves,
own everything outright and pay cash when we need to.
We are living well on stuff we learned in the 60s.

We are currently without Health Insurance,
but WILL be eligible for a fat subsidy or Medicaid thanks to the ACA.
....but we STILL Oppose this give away to the Insurance Corporations
as a step in the WRONG direction.

for at LEAST five more administrations if the SCOTUS had deemed the ACA unconstitutional and Republicans would have pointed and laughed and us for decades for thinking we have ANY ideas.

With this victory they come off as fools.

Now WE are the ones in charge of the debate for a change.

As I said, health care WILL eventually be a non-issue and future students of history will wonder how America could have let things get as bad as it did in the name of promoting Capitalism.

Or magic and focus on the features, disregard structure, not worry about the cartel's business model, or grasp that our borrowed Republican solution is fundamentally wrongheaded because it identifies the wrong root causes and runs with them.

Anything is "a foot in the door" even if it is built ground up to do the opposite of the expressed ends.

Emotions trump reality and personal benefit overrides societal impact. I fight for an endgame that would absolutely put me out of a job and if it didn't would diminish my level of care and personal cost and am on the same side, coming from the same place when I was uninsured and unemployed.
Meanwhile, all the rage is talking about free riders driving up their premiums like that bullshit is the principle driver of costs and personal responsibility, which sounds just like Hatch, Dole, and Gingrich back in the day selling what has now been redefined as liberal which means we are now further away than the law its self makes us because to get that buy in, mentalities had to be changed and now we have moved the debate's center of gravity to a battle between the "let them die" crowd and the new "welfare queens" wanting a free ride crowd which makes the "left" position about how to increase penalties and how to best insure the viability of the cartel and the new "right" answer of anti-social, big profit anarchy.

Now we have a big chunk of Democrats focused on pieces that have little to nothing to do with overhauling a bad structure and all the TeaPubliKlans dead set against doing anything but freeing the cartel further to write worthless junk which leaves a small percentage of us actually pushing toward the goal.

Go suck an egg! Half a loaf is better than none. And we are the ones with the yeast, the flour, and the recipe.

On, on!

It is indeed a victory for many. I, with my cancer am relieved and I do have insurance. There are others who have children with pre-existing conditions that were being helped. If this law had failed it would have been a nightmare. I wonder why Justice Roberts became the fall guy? I'm thankful for this, regardless.

I love Michael Moore. He is one of those special Americans paving the way for a better tomorrow. In the 60's we had many like him and progress was made but, we saw that progress wither away. Many of us need to stand like Michael for our rights under the constitution.

This healthcare thing isn't over. It is a beginning. We won one battle. We are in for several more. Yes, the exchanges need to be fair and affordable. It is up to the people to make sure that they are. If the insurance companies don't come out with what was promised we go to court again.

Someone tell me how we are going to fight these Republican governors who refuse to allow the healthcare act to come to their state? If the Supreme Court has ruled do they have grounds to refuse? If they refuse do they get government money? I'm sure there are people in those states that are waiting to be helped by the law. Can an idiot governor like Walker refuse to allow this act to enter his state? If this is true it will fail to help all.