• theneverfox
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    6 hours ago

    No, we got a massive hand out to insurance companies in exchange for letting everyone get insurance (if they can afford it)

    Things like standards of care have killed private practice and have made it so where the required paperwork is a larger part of a doctor’s job than medicine. It helped the consolidation of health systems, which has made the problems far bigger

    Let’s not forget, this concept was an older plan by the heritage foundation (who have released countless hits like project 2025) to avoid universal healthcare. The Democrats then negotiated it to be worse from there

    • _stranger_@lemmy.world
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      5 hours ago

      All of that was the direct result of having a coalition majority and not a dem super majority. If the Dems had a trifecta without having to rely on “Dems” from red states basically just being Republicans from the 80’s, it would have been better. Keep in mind 34 Democrats still voted against the ACA. It was a shoestring and bubblegum coalition that broke down immediately in political terms. Shitloads of compromises because they had to bring in support from those conservative “Dems”.

      (US politics actually has several sub-party groups that don’t identify as a party independent from their actual party.)