Breaking: ACA Not Repealed.

[BigV]

Originally Posted by Griff

That's the problem as I see it. The hyperpartisanship will prevent reasonable adjustments from being made. Ideally I'd rather see a single payer system, but I doubt we can do that with a broken government.

The ACA does need improvement, I agree. And wholeheartedly agree that the single-payer system *already* in place for large swathes of our population could serve as instructivel models for a system that covered all americans. Medicaid and Veterans Administration, I'm looking at you.

Instructive, having elements that could be repeated, like Medicaid's structure to negotiate drug prices should be modeled. The sources of the problems with delivering heath care to veterans, whatever they may be, should not be duplicated. We *have* single payer systems already that are accepted and and acceptable. We'll never go to a completely free market system, nor should we, any more than we should go to a completely socialized system. Just because people covered by one of these programs gets their health insurance costs covered in all or in part by the government doesn't mean that there's no room for additional market based companies to compliment that coverage.

We have hybrid systems like this now, all over the place. Supplemental Medicare/Medicaid insurance plans are widely available. It can happen.