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http://www.boomantribune.com/story/2012/6/29/02820/3138ACA Makes Democrats Strong
by BooMan
Fri Jun 29th, 2012 at 12:28:20 AM EST
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Let's be honest. Most of these pols are smart enough to know that making people pay a small fine if they aren't insured isn't going to change the fundamental character of this country. It's not a slippery slope that will soon find the government taxing people for having children or getting married, as Rep. Mick Mulvaney of South Carolina suggested today. What these folks are afraid of is something different.
They are afraid that people will like these reforms when they are fully implemented and demand that the government continue to regulate and improve the system. Let's start with the CBO estimate that the bill will eventually result in 30 million people getting health insurance who would not otherwise have it. Think about that number for a minute. And then ask yourself, "who could possibly think that is a bad thing?"
The answer is obvious. If you don't like the Democratic Party, you are not going to like the idea of 30 million voters out there who only have health insurance because of the Democratic Party. Republicans don't like this bill because they know it makes the Democratic Party stronger.
If there is a slippery slope, it isn't that the government will use today's ruling to start infringing on people's rights in other areas. The slippery slope is created when a family of four, making four times the poverty rate ($88,200 annually) gets a $1,480 subsidy to help them afford their health insurance and sees their maximum out-of-pocket annual premium capped at $8,379 (or 9.5% of annual income).
The Affordable Care Act benefits too many people. Once people see those benefits they will be grateful for them and think the government is doing something nice and valuable for them. Anyone who tries to lower their subsidy or raise their cap is going to get punished. And the party that tried to destroy all of this at the Supreme Court? They're the new enemy.
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Republicans should be happy that America came up with a solution for health care that preserved a robust private health insurance industry. In that sense, the right won. But so many of them seem genuinely to believe that this health care reform spells doom for our country. Some of them are actually confused. The rest realize that the Democrats just won a great victory by winning many new adherents who will make it tougher for them to win elections and enact the kind of policies in other arenas that they would like to enact.
Fumesucker
(45,851 posts)There are already quite a few people in this country who have insurance but can't really afford to use it for anything other than catastrophic care because of high co-pays and deductibles.
I don't see that the PPACA is going to change that, the lower end plans (the ones the bottom 50% will be able to afford) are going to have big co-pays and big deductibles still as far as I can tell, there will just be more people shoveling a lot more money at the insurance companies for low end policies.
Median Income in this country in constant dollars has been nearly flat since the early 70's while the cost of everything has skyrocketed, a great many people just don't have the money to take advantage of insurance even if the policy itself is partly or wholly subsidized.
ETA: From the perspective of the person with the lower grade insurance that uses it in a catastrophe situation, they may feel with some justification that they will probably end up bankrupt anyway if they get sick enough to use the insurance so why bother.
Spitfire of ATJ
(32,723 posts)Bolo Boffin
(23,796 posts)President Obama and the Democrats bent over backwards to get the Republicans on board. Some here think way too much, and think less of them because of it, that's how much they tried.
But they got nothing. It could have been a bipartisan triumph. But now it's "Obamacare." And the President's quite content to have them call it that, because every time they do, they just remind the public of their intransigence.