this post was submitted on 23 Jan 2024
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You must be very young to not remember what it was like prior to the ACA. You could pay for insurance for years and get denied treatment for "pre-existing conditions". They could literally cut you off as soon as you got cancer.
And many of the people dying now are in Republican states that didn't expand Medicaid. The ACA gives free money to help poorer Americans, but Republicans refuse to take it. That's clearly not Obama's fault.
I'm pushing fifty, jackass.
I'm literally constantly on the verge of not being able to afford my cancer meds and will then just die if I can't get them.
I live in a solidly blue state.
Go on, tell me more about how my lived experience is wrong. I've had fellow Democratic voters shoving that shit up my ass for my entire voting life.
Then you probably remember how badly healthcare blew up in the Clinton's face back in 1993.
The ACA, for better or worse, was strongly shaped by that experience. Obama's biggest lessons from that debacle were 1) don't threaten the insurance industry and 2) don't threaten union- bargained "cadillac" plans.
The ACA was designed to not die the same way Hillarycare did. It's a worse law because of it, but importantly: it passed.
It passed and more people got access to health insurance. Plenty of them still don't have access to healthcare.
In my view, these half-measures are why Democrats never have much real energy behind them, because nobody gets excited for half-measures or using Republican plans just to be able to make deals with Republicans.