You know what's funny? What's absolutely hilarious? The last Republican proposal before the Government shutdown was to delay the individual mandate by one year, and repeal the medical device tax. Fast forward a few weeks and the Affordable Care Act roll out is not only a disaster but the subject of hilarity. Seriously, watching people try to scramble to explain how a website that has more code than the latest version of Windows, has been hilarious. So funny that the ACA which had ONE House Republican that signed on (and failed to get reelected) has a lot of Democrats worried. They're so worried that they're trying to. . . delay the individual mandate by a year.
Gee. But let's not stop there. At it's best Obamacare was supposed to help 30 million Americans, which is roughly 10%. Because of that 6 million Americans who actually liked their coverage (roughly 2%) are going to outright lose their coverage. But let's not stop there. As many as 100 million Americans are going to have their coverage altered, or their premiums are going to skyrocket. That's 33% (roughly). So right there roughly 35% of Americans are going to be hurt by this law from the outset, the primary effects, that the law was actually designed for. This does not account for the 7.3% of Americans that are unemployed.
The secondary, and unintended consequences of the law may be even worse. Doctors are fleeing the plans that are the center piece of Obamacare. The why seems painfully obvious. Doctors are a highly specialized position, that takes years and years of training. The cost to get through the training and the years of devotion are compensated by the extremely nice pay. Even breaking even with years worth of student debt can take years, but in the end most doctors don't mind it because they earn a very nice paycheck. Government plans are very strict in exactly how much they pay for what. If you had to spend six figures to get a job in the hop of making (close to) six figures wouldn't you flee a plan that cut that paycheck drastically? The practical result is you'll have to wait for a long time to see a doctor, and travel far to see specialists (even though there might be several specialists nearby).
Everyone points to the things that Obamacare covers as a good thing, but why should a single male need maternity care? Why should a relatively healthy family with no history of substance abuse need that covered in their plans? Yes some people will need this in their plan, and feel they need it, they will pay for it, but why would you force someone who doesn't want or need these to have them on a plan? The obvious result will be that everyone's plans will by necessity cost more. In a time when the economy is barely recovering, why would you want to add more cost to people's lives. The gas prices going up half a dollar a gallon immediately preceded the housing market crisis. So what crisis could this bump in expense cause?
Even if it could somehow be proven that the ACA might help 10% of Americans, is this really what we want our federal government to be doing? We're already spending over a trillion dollars a year more than we take in. Even if the ACA works properly there'll be a massive increase in the Medicaid rolls. If we can't afford what we have now, why would we add to that?
One of the best talents that America has displayed is our talent as a nation to compromise. The Affordable Care Act, is a clear example of what happens when we don't compromise. It is an idea born of ideology and good intentions but not grounded in reality. The implementation has been a disaster. Perhaps the dysfunction surrounding Obamacare might actually be a good thing. Maybe its time for us as a nation to have an actual conversation about what we want our government to do. What is the role in our lives. Are we it's master or is it ours? Whatever we decide, I'm pretty sure that America will be better off if we repeal the Affordable Care Act, and perhaps start over.