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> Until the ACA, you were 100% trapped

It is unclear how premiums that exceed income along with deductibles that exceed rent are a freeing experience.



Haha... indeed. I meant specifically from the perspective that you were in a situation where leaving your job meant you were now uninsurable (in many states, at least). I have an entirely separate rant on how the ACA stuck people with higher deductible health plans outside of employers (like me and my family) with virtually all of the risk of the formerly uninsurable. It was more politically expedient for the Democratic Congress of ‘09 to not really try to fix the problem.


It was fairly maddening hearing endless glory heaped upon the ACA, while most sq mi of the US remained saturated with uncovered Americans.

At least until 2017. After that it seemed a little okay to discuss the realities of the ACA.


I mean... it was an improvement, and certainly did enable coverage for a lot of people who otherwise would have gone without. But it was such a lost opportunity, and I wish the Dems could just own up to that and push for something more. The problem is that both sides are so deep in the industry’s pockets, that I don’t think real reform is even possible.


> it was an improvement and ... enabled coverage for a lot of people

This is kind of my point. The ACA was designed to benefit the middle class and non-vulnerable. At which point the middle class and non-vulnerable (and the press) stopped caring about who had healthcare.

To drive home that point: A few years ago I ran ACA quotes for typical income levels (typical for non-wealthy regions, 12k-32k) and found that premium cost steeply dropped for each 10k rise in income.

My primary issue isn't that this happened, it's that we weren't told. It's that ACA supporters + the entirety of press compulsively gloss over ACA realities.

> I wish the Dems could just own up to that and push for something more.

I suggest that uncovered Americans don't need something more. They need something.

> The problem is that both sides are so deep in the industry’s pockets, that I don’t think real reform is even possible.

Pols trading law/power for campaign cash is the other thing that news orgs have ~0 interest in.




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