Pirate's Cove

This is a case of a different headline on the front page of the NY Times yesterday than in the single page, and it brings up an interesting point

Wait, I thought Obamacare, ie, The Patient Protection and AFFORDABLE CARE Act was supposed to fix this https://t.co/UMLQEHbVFm

— William Teach2 ??????? #refuseresist (@WTeach2) March 18, 2019

They did call it the Affordable Care Act, did they not? Whenever a Democrat, including then President Obama and the Democrat media, discussed it they referred to it as the Affordable Care Act. How many times did Obama yammer about it reducing costs and saving us $2,500 a year on premiums?

Medicare for All Is Divisive (in the Democratic Party)

No issue animated the Democrats’ 2018 congressional campaigns like health care and the promises to expand access to insurance and to lower costs. But as House Democrats sit down to draft their vision of governance in the coming weeks, lawmakers find themselves badly divided on the issue that delivered their majority.

Centrists from swing districts, with the tacit support of Speaker Nancy Pelosi, favor incremental moves to shore up the Affordable Care Act and to lower the out-of-pocket costs of prescription drugs and medical care. They are pushing a variety of measures, such as shutting down cheap, short-term insurance plans that do not cover pre-existing medical conditions and allowing people to buy into Medicare at age 50 or 55.

But they are butting up against an aggressive and expanding group of more than 100 outspoken Democrats — as well as at least four of the party’s presidential candidates — who want to do just that, upend the whole system with a single government insurance plan for all Americans — the old concept of single payer, now called Medicare for all.

“I reject the idea that single payer is impossible,” said Representative Alexandria Ocasio-Cortez, Democrat of New York.

This will cause a pretty big fight over the next few weeks and even years as they debate this in the Dem controlled House, as well as between those running for the Democrat presidential nomination.

The idea of Medicare for all is immensely contentious. It would greatly expand the federal role in health care. Critics say it would require a big increase in federal spending, and proponents have not said how they would pay for it. Some versions of Medicare for all could wipe out much of the health insurance industry and replace employer-sponsored health plans that now cover more than 155 million Americans. Supporters say the proposal would guarantee universal coverage and put health care on a budget, reducing what consumers and employers spend. But insurance companies, along with many hospitals and doctors, are waging a vigorous campaign against it, believing that it would reduce the payments they receive for providing care.

Ms. Pelosi cannot afford to put moderate freshmen in Trump-friendly districts on the spot by putting Medicare for all up to a vote.

“Most people receive health care from their employer,” said Representative Scott Peters, Democrat of California and a vice chairman for the New Democrat Coalition, a centrist group. “They do not want to replace it with an untested government system.”

If a single payer type system cannot work in tiny Vermont, with a population of 626 thousand, how would it work for well over 300 million Americans? Let’s not forget that studies showed that the cost for “Medicare for all” for the state of California would be at least twice the overall state budget. If Democrats want to yammer about this, and there will be lots of committee hearings, they will need to explain just how they plan on paying for it, as well as how it would actually work, as in, how much rationing will there be, how medical care providers will be reimbursed, who will run medical facilities, who will own them, and how much our taxes will go up to pay for this.