Post by Deleted on Apr 12, 2015 12:11:09 GMT -6
Might as well start things off with a flourish in this forum eh?
You all heard me right, and it's a serious statement, however much it is from the Devil's Advocate position.
In 2009, the PPACA passed congress and it was largely designed, written, overseen and protected by Nancy Pelosi, Harry Reid and their most critical owne...errr...supporters.
We cannot repeal this pig without lipstick, because it isn't actually a pig at all. It's the illusion of a pig, made from a thousand little pieces, scattered in a hundred different regulatory directions that form systemic change without being a 'program' or specific focus to "DO" something about.
What has the PPACA actually done? On one hand, it had radically expanded Medicare/Medicaid in all states that haven't outright fought it and refused. Some program called "Obamacare" isn't actually handling the new flood of qualified people (whatever the numbers actually signing up may be). Those who cannot pay and qualify to be insured by private industry, get dropped into the Medi- nets...on a scale never contemplated prior to 2009. That is your FIRST biggie...and it's a nightmare all its own for exponential numbers building, and self defeating long term results.
However, that isn't all. Obamacare, as we call it, started over 2 dozen new state health programs that quite frankly, stand alone while being integrated with the Federal systems. If you repeal the PPACA itself? Those state systems aren't going anywhere...and they were built AT THE EXCLUSION of what existed before they came. I.E.....we'll have to MAKE a whole new system, just to return to what used to exist...because it doesn't exist to go back to, any longer.
That is really the worst fact of it too. The track of national health was torn up behind the Obamacare train....and it was MEANT to happen that way, to make reversal a question of "reverse to what???".
The technical terms of Obamacare can be repealed, of course. The terms are nothing but legislative details, as much as Prohibition was technical law which was eventually pulled back. However, the culture, sea change in health and ramifications transcend the original program's downsides, and they can't be repealed directly. The worst of what the PPACA gave us, isn't a part of its regulations, but the culture it created.
You all heard me right, and it's a serious statement, however much it is from the Devil's Advocate position.
In 2009, the PPACA passed congress and it was largely designed, written, overseen and protected by Nancy Pelosi, Harry Reid and their most critical owne...errr...supporters.
We cannot repeal this pig without lipstick, because it isn't actually a pig at all. It's the illusion of a pig, made from a thousand little pieces, scattered in a hundred different regulatory directions that form systemic change without being a 'program' or specific focus to "DO" something about.
What has the PPACA actually done? On one hand, it had radically expanded Medicare/Medicaid in all states that haven't outright fought it and refused. Some program called "Obamacare" isn't actually handling the new flood of qualified people (whatever the numbers actually signing up may be). Those who cannot pay and qualify to be insured by private industry, get dropped into the Medi- nets...on a scale never contemplated prior to 2009. That is your FIRST biggie...and it's a nightmare all its own for exponential numbers building, and self defeating long term results.
However, that isn't all. Obamacare, as we call it, started over 2 dozen new state health programs that quite frankly, stand alone while being integrated with the Federal systems. If you repeal the PPACA itself? Those state systems aren't going anywhere...and they were built AT THE EXCLUSION of what existed before they came. I.E.....we'll have to MAKE a whole new system, just to return to what used to exist...because it doesn't exist to go back to, any longer.
That is really the worst fact of it too. The track of national health was torn up behind the Obamacare train....and it was MEANT to happen that way, to make reversal a question of "reverse to what???".
The technical terms of Obamacare can be repealed, of course. The terms are nothing but legislative details, as much as Prohibition was technical law which was eventually pulled back. However, the culture, sea change in health and ramifications transcend the original program's downsides, and they can't be repealed directly. The worst of what the PPACA gave us, isn't a part of its regulations, but the culture it created.