Nov 15, 2013 10:29
It strikes me that what the "Affordable Care Act" should have been was an extension of Medicare (which has been covering me since the year 2000 very nicely) to everyone.
That, it turned out, couldn't get past the insurance industry lobbies, and instead, we got the hodge podge we are now saddled with. And the insurance had their claws into the GOP so hard that the GOP has made it an article of faith that no single part of the ACA should be permitted to become law, or to succeed in working if it had. They have been attempting to sabotage it ever since; repeal the law, don't pay for it, at the state level, make the federal government do all the work instead of handling it themselves, as was expected.
The insurance industry has chimed in themselves, by failing to advise policyholders that their policy would not meet the requirements of the ACA, and offering them alternative policies that would.
Government computer procurement is the most hidebound, difficult process in the world. It is so difficult that it is amazing that anything ever gets done. It takes literally years for anything to happen, and the three years between the enactment of the ACA and the time it was supposed to take effect wasn't enough time to get anything done properly.
the aca,
obamacare