• ragebutt@lemmy.dbzer0.com
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    9 days ago

    The ACA did give incremental change in updating things like the long overdue “no coverage for pre existing conditions” bullshit. That was admittedly a big win.

    But the individual mandate with no financial assistance was tone deaf at best and corrupt at worst. People who were uninsured were uninsured because they couldn’t afford it, not because they thought it was cool to not buy health insurance. Now they were forced into a position of buying expensive coverage or penalized financially for not doing so. Huge win for the privatized insurance industry, which has been doing amazingly well since the ACA. And this ultimately weaponized a generation against healthcare reform! I would bet at least some trump voters are disgruntled people that are still furious that despite being barely able to get by their government forced them to spend $3-400 a month on a bullshit health plan that covered nothing because it still had a $4000 deductible

    I would buy the whole “this was a compromise on the path to something better” if there was any movement whatsoever on healthcare reform since. The ACA was fifteen years ago. I work with high schoolers that are older than the ACA.

    And what major reforms have we seen in those years? Not a ton:

    Repealing the individual mandate - republican win in 2017, pulling those disgruntled voters in

    Alt health plans - pooled and short term health plans. Short term health plans reintroduce denial based on health history, pooled plans are potentially unstable based on the pool, both limit coverage options fairly substantially compared to traditional plans

    Medicaid funding cuts

    Prescription drug pricing changes - some wins here but also some concerns about potential access to novel treatments for people on Medicaid and Medicare

    The ACA did far more bad than good. Like typical democrat shit the good could not occur without padding the pockets of the donor class at the expense of the worker class.

    • Blackout@fedia.io
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      9 days ago

      The ACA immediately lowered the cost for insurance. I know because in 2007 my healthy, 28yr old, non-smoking ass tried to get private health insurance. The cheapest, emergency-only coverage I could get was over $600/mo. After the ACA was enacted I could get a similar plan for under $200. I hadnt had health insurance for 10 years by then cause I was kicked off my dad’s when I turned 18, not 26 like it is now.