I know none of the Government parties are on obamacare.
We the people are paying for their EXCELLENT Medical coverage!
If they were forced to be on obamacare they would be working hand in hand
40 hours a day to change the insurance and health care system.

I could only hope to so clearly put into words such a dark version ,
then again, oh man, to hope to be able to foretell such a dark image is nothing to hope for at all

Accomplishments of the ACA

Implementation of the ACA has produced several positive health care benefits[1, 4].

• The rate of uninsured Americans declined from between 16.3% and 18% for 2010 to 2013 (before implementation of the ACA) to between 9.1% and 11% for 2015 to 2016, which to my knowledge are the lowest uninsured rates recorded to date in the United States.[6, 7] The rates are even lower among states that implemented the ACA Medicaid expansion compared with states that did not (7% vs 14%).[8] As a result, 20 million of the previously 48 million uninsured Americans gained health care insurance. This improved their access to health care, their financial security, and their health.

• The health care exchange market provides subsidies (financial assistance) to families with incomes between 100% and 400% of the federal poverty level so that they can have health care insurance at a reduced cost.

• For states that are willing to accept federal assistance, the ACA Medicaid expansion covers individuals and families with incomes up to 138% of the federal poverty level (this includes adults without disabilities and without dependent children).

• Dependents (children) can remain under the insurance of their parents up to the age of 26 years.
Insurance companies cannot deny health care coverage based on preexisting medical conditions. This could have potentially affected as many as one-third of Americans. Insurers also are prohibited from canceling insurance in the event of sickness (a surprising but not uncommon occurrence before the ACA).

• Minimum acceptable health care coverage standards and benefits are required for health insurance policies. This protects patients against insurance that would be worthless in the case of serious illness, and from significant deductibles.
Insurers cannot cap the amount of care received annually or in the patient's lifetime. This helps patients to avoid abandoning care because of financial burdens.

• Reasonable caps are proposed on annual and lifetime out-of-pocket expenses.

• Patients cannot be denied coverage of, and access to, clinical trials.[9, 10]

• The Medicare Part D coverage gap is being reduced gradually and will be closed completely by 2020. This coverage gap, commonly referred to as the “doughnut hole,” describes high out-of-pocket expenses on oral medications provided to senior Americans covered under Medicare.

• Health care spending is projected to be 20% less than anticipated.[11, 12]

• On average, the trends for increases in health care insurance coverage and costs are lower than in the periods preceding implementation of the ACA.[13]

• Insurance companies are required to spend 80% to 85% of their revenues on actual health care. This figure previously was as low as 50% to 60%. As a reference point, Medicare spends 97% of revenues on health care.

• Approval/disapproval rates of the ACA have varied over time, depending on polling sources, how the questions are framed, and ideological beliefs, as well as ethnicity and age groups.[14] Recent polls have demonstrated that more people approve of the ACA.

• Approval rates are reported to be 61% among Hispanic and 91% among African American individuals.[15] Approval rates are higher among younger Americans compared with seniors. Approximately 80% of ACA enrollees are satisfied with their coverage. The approval rate is 91% for those covered by Medicaid.[16]

• To date, none of the dire predictions of ACA implementation have materialized (ACA death spiral, “death panels,” increased costs of care, soaring insurance premiums, massive insurance cancellations, job killing, etc).

"Practically every wealthy capitalist democracy in the world has decided that some form of government-managed universal health care is the most sensible and effective option."


"The point of universal coverage is to pool risk, for the maximum benefit of the individual when he or she needs care.

And the point of having the government manage this complicated service is not to take freedom away from the individual. The point is the opposite: to give people more freedom.

Arranging health care is an overwhelming task, and having a specialized entity do the negotiating, regulating and perhaps even much of the providing is just vastly more efficient than forcing everyone to go it alone."

How is the ACA going to explode? I truly want to know, because I give a damn about my fellow citizens. How is me getting insurance at an affordable rate screwing everyone else? I don't qualify for a policy under the Medicade (or is it Medicare, I confuse the two) expansion.

What's the fallout?