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What did Democrats do wrong?

What did Democrats do wrong?

  • Didn't fight inflation enough.

    Votes: 12 15.6%
  • Didn't fight illegal immigration enough.

    Votes: 22 28.6%
  • Too much focus on abortion.

    Votes: 1 1.3%
  • Too much transgender stuff.

    Votes: 28 36.4%
  • America not ready for Progressive women leader.

    Votes: 26 33.8%
  • Should have kept Joe.

    Votes: 2 2.6%
  • Not enough focus on new jobs.

    Votes: 2 2.6%
  • Nothing, Trump cheated & played dirty!

    Votes: 14 18.2%
  • Didn't stop Gaza War.

    Votes: 8 10.4%
  • I can be Agent M.

    Votes: 6 7.8%

  • Total voters
    77
Obamacare is not the root of the problem. It was a partially-successful attempt to correct the health care crisis but is coming apart, mostly due to Republican tearing away at the seams.
I've said it before and I will say it again. If your goal is to provide affordable health care to all Americans, the Affordable Care Act (or Obamacare) is the most Conservative, right-wing plan that has any chance of working. There really isn't anything to the right of it. If Republicans are ripping it to pieces, they either don't know what they are doing or are on board with poor, sick people dying.
 
Trump seems stuck on taking money from the insurance companies, and giving it to the individuals, so they can negotiate with their health care providers directly. Great plan, what could possibly go wrong?

Is 'giving it to the individuals' what the cool kids call 'Tax cuts for the wealthiest' these days?
 
I've said it before and I will say it again. If your goal is to provide affordable health care to all Americans, the Affordable Care Act (or Obamacare) is the most Conservative, right-wing plan that has any chance of working. There really isn't anything to the right of it. If Republicans are ripping it to pieces, they either don't know what they are doing or are on board with poor, sick people dying.
It's both. America's health care plan works for the wealthy, and that's all that matters to them.
 
Obamacare is not the root of the problem. It was a partially-successful attempt to correct the health care crisis but is coming apart, mostly due to Republican tearing away at the seams.
ACA was never a reasonable solution to the problem - it does nothing at all to even address the problem. Sure, it uses taxpayer money to subsidize some people's premiums... but there's absolutely nothing at all in the law that address the *cost* of care in the US. It's actually made things worse. I approve of wanting more people to have access to care and protection against financial ruin if something goes wrong... but seriously - how many people do you know who can just shell out $20K a year for their family if someone's really injured or sick? Mostly, it serves to hide the actual costs from the consumers, and it's partly responsible for significant consolidation and integration of provider groups, rife with venture capital investments, all seeking massive profit margins. ACA squeezes the middleman, and that's fine - insurance companies shouldn't be making huge profits either. But it does nothing to address hospitals charging $20 for a tylenol or doctors charging $150 for a 15 minute block of time. And because of how ACA is structured, and how broadly "essential health benefits" are defined, most patients are never actually exposed to how much the care itself actually costs.
 
I've said it before and I will say it again. If your goal is to provide affordable health care to all Americans, the Affordable Care Act (or Obamacare) is the most Conservative, right-wing plan that has any chance of working. There really isn't anything to the right of it. If Republicans are ripping it to pieces, they either don't know what they are doing or are on board with poor, sick people dying.
I dunno. We could follow Switzerland's lead. That seems to be working out pretty well.
 
I dunno. We could follow Switzerland's lead. That seems to be working out pretty well.
I don't know much about the Swiss healthcare system other than what I just saw on wikipedia. Is there some aspect of it you think is more Conservative than Obamacare?
 
Swiss is a mixed market health system. Generally speaking, the government sets the prices for the delivery of care - what doctors can charge, how much a given procedure costs, how much drugs cost, etc. They also define a minimum insurance benefit - the minimum amount of coverage that insurers can offer, and some specific items that must be covered. All citizens are required to have insurance - but what insurance they have and who they get it from is a private market. So insurers compete on customer service and packaging of benefits. It's actually a lot like Medicare Advantage.

I wouldn't say it's "more conservative", I'd say it's "better designed". Conservative or progressive isn't really a good objective when it comes to health care in my view. I'm far more interested in efficient, effective, and sustainable.
 
I don't know much about the Swiss healthcare system other than what I just saw on wikipedia. Is there some aspect of it you think is more Conservative than Obamacare?
It could be argued that the Swiss plan is more conservative because everything goes through private insurance companies.

In the United States you have a mix of private insurance (Obamacare, insurance through work, etc) and various public systems (Medicare/Medicaid). It's not that Obamacare is less "conservative" than Swiss insurance, it's just that there is also health care that is more directly funded by government.
 
ACA was never a reasonable solution to the problem - it does nothing at all to even address the problem.

It addressed what was quite possibly the biggest problem, it let people with pre-existing conditions get reasonable healthcare. Something my father couldn't receive after he had his heart attack.

Is it perfect? Hell no. Is it WAY ◊◊◊◊◊◊◊ better than the nothing that we had in place before? Hell yeah. As far as your statement that it has "made things worse", I'm calling nonsense. The price of healthcare was perpetually rising at unreasonable rates and Obamacare has done its best to at least slow it down. I'm not a fan of Obamacare either, and I would kill for single-payer, but to act like it hasn't helped is complete and total ◊◊◊◊◊◊◊◊. God only knows what the costs would be now if it was left unchecked. My father and I would be dead without it because we wouldn't have been able to afford any form of insurance. I would have gotten no care when going through tech school because we wouldn't have qualified or been able to pay for it.
 
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It could be argued that the Swiss plan is more conservative because everything goes through private insurance companies.

In the United States you have a mix of private insurance (Obamacare, insurance through work, etc) and various public systems (Medicare/Medicaid). It's not that Obamacare is less "conservative" than Swiss insurance, it's just that there is also health care that is more directly funded by government.
Not sure why there are private health insurance companies if there are government-set prices for medical care. Providing a shared risk pool is the easiest part for the government to take over.

In any case, it is certainly to the left of anything the GOP would accept in the US.
 
It addressed what was quite possibly the biggest problem, it let people with pre-existing conditions get reasonable healthcare. Something my father couldn't receive after he had his heart attack.
People with pre-existing conditions have always been able to get health care. They haven't always been able to buy low-cost individual health insurance.

I get that a whole lot of laypeople don't understand the distinction here, but it's actually pretty important. Doctors were always willing to provide care to people with pre-existing conditions... if they could pay for it. And employers haven't been allowed to deny insurance coverage based on pre-existing conditions since before I was born. I'm not sure they ever could, but I wouldn't take a bet on the history of that particular detail. But when people are purchasing individual insurance, they're actively socializing their risk. Covering pre-existing conditions increases the cost for everyone in the pool. The individual with the known high cost exposure is shifting their own risk onto other people's pocketbooks. For all intents, it's like wanting to get homeowner's insurance after the house has caught fire. Or perhaps a little less extreme, wanting to get low-cost homeowner's insurance for a house that you already know has bad wiring, gas lines that are coming apart at the seems, and is built of untreated dried-out wood... and expecting that all the other homeowners who have good wiring, solid gas lines, and cement construction will foot the bill.

That's not to say that requiring coverage for pre-existing conditions is necessarily a bad thing. From a position of principle, I agree that it was one of the few good elements of ACA - but it came at a cost, and that cost was higher premiums for everyone in the entire individual market. I've been working in this field, specifically in individual market health insurance, since 2000. I watched it happen - it wasn't a surprise to any actuary. The average premium cost in 2014 increased considerably over the cost in 2013. A large portion of that was due to things like maternity, mental health, and comprehensive drug benefits being *required* in the plans. But some of it was very directly the result of guaranteed issue, community rated pricing requirements.
Is it perfect? Hell no. Is it WAY ◊◊◊◊◊◊◊ better than the nothing that we had in place before? Hell yeah. As far as your statement that it has "made things worse", I'm calling nonsense. The price of healthcare was perpetually rising at unreasonable rates and Obamacare has done its best to at least slow it down. I'm not a fan of Obamacare either, and I would kill for single-payer, but to act like it hasn't helped is complete and total ◊◊◊◊◊◊◊◊. God only knows what the costs would be now if it was left unchecked. My father and I would be dead without it because we wouldn't have been able to afford any form of insurance. I would have gotten no care when going through tech school because we wouldn't have qualified or been able to pay for it.
ACA hasn't slowed the COST of health care. Literally nothing at all in ACA addresses the cost side of the issue. Not a single thing. It has spread that increasing cost to other people to help foot the bill - including spreading it to taxpayers. But the underlying cost of services provided was unaffected by ACA, and has continued to rise at rates higher than general inflation.
 
Not sure why there are private health insurance companies if there are government-set prices for medical care. Providing a shared risk pool is the easiest part for the government to take over.
For the same reason that Medicare Advantage is far more popular than Original Fee-for-service (FFS) Medicare: It lets people select the suite of benefits that best suits their needs.

Let's take it from a slightly different perspective. Let's say the government decided to set the prices for gasoline, and all gas had to be the same price-per-gallon everywhere. Let's say all gas stations are government run, and they're optimally spread across the US, so everyone has easy and convenient access to them. Let's also say that the government decided that everyone has a right to a car, and they collect taxes from everyone to pay for cars and gas and gas stations.

Which do you think would be a more efficient and overall satisfactory way to go about this?

1) Mandate that everyone's car should have heated and cooled seats, a V8 engine with 600 hp, window tint, four doors, seat 5 people, leather interior, and all of them should be british racing green... or...

2) Mandate that all cars must have at least two seats, NHTSA 5-star rating, front and side air bags, and a minimum range-per-tank of 300 miles, then let each individual pick what additional features they want at their own expense?
 
From my personal experience, DH had a medical condition that put him in hospital to the tune of a quarter million dollars about 30 years ago; luckily insurance covered it. After he recovered and was released, AEtna dropped him and wouldn't let him sign up again. The only reason he is insured now is through my workplace insurance. That is a sample size of one, but I suggest it's not as uncommon as you think.
 
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For the same reason that Medicare Advantage is far more popular than Original Fee-for-service (FFS) Medicare: It lets people select the suite of benefits that best suits their needs.

I recommend a very recent episode of Last Week Tonight with John Oliver: Medicare Advantage.
 
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Bill Maher yesterday. I think he's losing his audience. Catering to fans of Chuck Schumer may not be a winning strategy:
New Rule: Flirting with Socialism (Real Time with Bill Maher on YouTube, Nov 15, 2025 - 8:47 min.)

It's as bad as you might expect, considering the theme of his monologue, e.g. Mamdani = North Korea.
The most interesting thing is how difficult it is for Maher to make his audience applaud - despite the alleged APPLAUSE sign - especially after this:
4:42--> Democratic socialism is like a dating profile. Things look great until you meet up in the real world. For example Bernie Sanders, his big thing was always bringing singlepayer health care to our country of 340 million. But when liberal tie-dyed Vermont tried to do it for a population of 626,000, it collapsed like that poor ◊◊◊◊ in the Oval Office last week.
Bernie, AOC, Mandani [sic] are not Democrats. They'll be the first to tell you that they're Democratic socialists. And that's a very different thing. And I don't think people know that yet.
One or maybe two audience members clapping as if they were paid to do so, which they actually may have been, and Maher is not happy.
It gets even more obvious when you look at the YouTube comments. The first 10:
"You keep using that word, I do not think it means what you think it means"
"Capitalism doesn’t exist the way it used to. Very few mom and pops while large multinational companies and oligarchs run the world."
“We don't want 'long lines for bread' socialism, we want 'you don't have to win the lotto to afford brain surgery' socialism” ~ Bill Maher, March 2019"
""Normal" in America is pretty damn strange elsewhere."
"All for no scents and universal health care. Its time to stop giving billions to the insurance companies who will deny you medical care."
"Sorry Bill, I missed the part where you spoke about the Socialism for the rich program, that never ever runs out of cash."
"I guess alternative facts are not exclusive to Fox News..."
"If we don't find a way to include our young people in our economy, they will eventually vote socialism because, for all its ills, socialism doesn't just exclude them by default the way capitalism does."
"Bill maher advocated for dem socialism years ago"
"It's the time of the year Bill advocates for the rights of the rich"
 
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Right, Dems should have rammed through a proper bill instead of appealing to the death cult capitalists.

Agreed. I don't expect we will see a proper bill any time soon though.



How much? A number, please.

It's really not her thing.

Research takes a bit of time as you have to go through some iffy source materials.

This paper has a pretty good description of the problem two thirds of the way down.

The Greater Obamacare Enrollment Fraud

The Brokers And Insurer Engagement And Tolerance Of Fraud
Fraudulent activity can often be found as approved brokers work within the system, such as through enhanced direct enrollment. In enhanced direct enrollment, brokers host their own eligibility applications and send enrollment information to Healthcare.gov. This is unlike traditional direct enrollment platforms, where brokers send enrollees to Healthcare.gov to file their eligibility application directly, then return to the broker’s site to select a health plan. Enhanced direct enrollment platforms often miss critical information — like Social Security numbers — yet made up 81 percent of all broker-assisted enrollments in 2023.

In online ads on Facebook and other platforms, unscrupulous agents and brokers lure Americans to hand over their personal information with promises like: “[P]ut $6,400 in your pocket right now for free.” The agents then use that information to enroll people in ACA coverage, even if they did not consent to signing up for insurance. One consumer, Angela Wells, clicked on one ad that promised cash cards for groceries. Even though she refused to sign up for insurance over the phone, the agent switched her plan anyway. She found out only when her pharmacy said her insurance had been cancelled and replaced with a plan—one with significantly higher copayments.

But the number shows up a little bit further down.

Evidence Of Widespread And Growing Fraud
There is improper enrollment in every state, given the complexities of Obamacare’s advance subsidy structure, but we find substantial problems in 29 of the 47 states. Overall, there were 10.89 million sign-ups in 2025 that reported income between 100 and 150 percent FPL. We estimate that 6.37 million of these enrollees—or 58.5 percent— were improperly classified. Total fraudulent enrollment in this income grouping is up from 5.01 million enrollees in 2024. The taxpayer cost of fraudulent enrollment in the exchanges likely exceeds $27 billion in 2025 alone. To put that $27 billion in perspective: It would fully fund the National Institutes for Health for more than six months.

Hm. The insurance companies don't exactly lose out from false enrollments.



Hmm, perhaps the agencies tasked with investigating this sort of thing should be funded.

Definitely funded, but Trump appointees are in charge.

Crushing Fraud Chili Cook-Off Competition.

So don't expect much on that front.
 

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