Obama 2017!

The 111th Democratic-controlled congress fucked all that up. It was on the table, if you recall. But Democrats were the main obstacle to the ACA, not Republicans at the time. Drug and insurance companies lobbied the D’s to the point of confusion and exhaustion. And then the law morphed into mild insurance reform, rather than sweeping “how we do health care” reform: tangled, plenty of loopholes for insurers, lots of burden placed back on the public, no public option, states able to opt out of medicaid expansion, a state-by-state “exchange” experiment centrally run, no ability for insurers to sell across state lines and create bigger risk pools to spread out the costs from the sick, etc. The only wins were the rate reductions, piecemeal state by state medicaid expansions, no lifetime caps or denial for pre-existing conditions, and kids can stay on parents’ insurance until age 26. Except for a few other details, the rest of it… basically a big pile of shit. And we are in for more. It’s going to have to get REALLY BAD before it gets better. It’s insanity. I don’t blame BHO one bit. Democrats fucked this up and now Republicans are fucking it up even more.

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