while many poor people do live in rural areas, the urban working class is not able to make ends meet. except for people in tech, almost everyone i know is working two jobs to make ends meet. and those sorts of anecdotes are borne out by current statistics.
no. this seems to be an uncritical political stance showing through. “obama care” has only just started, and it’s not a disaster.
many more people have insurance, and that insurance is more meaningful than it was. both of those are good things.
socialized healthcare would still be best. countries with such healthcare have better health outcomes at lower cost than the us does. time will have to tell how the aca does.
re: tort. my admittedly not-well researched position is that tort reform is a red herring.
one driver of legal costs is the fact people aren’t well insured. insurance companies sue because no one wants to pay. fix insurance, and it seems tort would follow. if not, then after fixing insurance – address the remaining issues.
yes! bringing down the cost of medical education, getting people – doctors, et al – out of the debt cycle would indeed help a lot.
only those i know who are salaried in tech are in this boat. ( though, i’m sure this extends to other professionals as well. )
most of my working class friends haven’t previously been able to afford insurance. while most self-employed tech friends have only had catastrophe insurance.
overall, i really do think the best thing we can do is enact steep progressive taxation and roll the gains back into alleviating the basic costs of living – avoid subsidies, tax breaks, and the like: instead focus on shifting the burden of shared infrastructure ( health, education, transport, … ) from lower income earners to higher income earners.
ideally, every low income earner would have the opportunity to become a high(er) income earner. right now, that’s not the case. and we have a huge issue coming for when people in their 30s and 40s now reach “retirement”. currently, it seems they’ll be working till they are dead.