this post was submitted on 07 Aug 2023
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Politics
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The Republican gutting of the individual mandate and refusal to accept federal funds to expand Medicaid is what crippled the ACA.
We only got to see the actual ACA in action for like two years and it was working. It always comes down to the Republicans actively working to ruin any progress we make.
https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.01433
What state are you in? Was it one that refused to expand Medicaid? Because here in Massachusetts, which is the model state for the ACA, our Medicaid (Masshealth) is actually the best insurance I've ever had in my entire life. The individual mandate HAS to be accompanied by subsidies and expansion of Medicaid or it doesn't work.
I appreciate that some people are able to afford to forego insurance, but most people can't in reality. (I can't. I have a chronic illness. I require daily meds for life.) And when they get sick, their cost still exists in the system and it's more expensive. It's not different from being forced to carry car insurance, if you drive.
That said, housing costs are out of control. I advocate at every moment to increase the housing supply. (Currently in polite disagreement with my NIMBY neighbors over a proposed new housing development near us.) Drug costs are out of control and need to be regulated. (I prefer nationalized, actually. But I know that's a nonstarter in the US).