Quote:
Originally Posted by bUU
Except you refuse to acknowledge that Romneycare has been running here for over six years without any of the doom and gloom you're predicting happening here.
I guess you feel that my state is just that much better than your state.
|
I don't know where you are from - your name doesn't say that. I'm not "refusing to acknowledge" anything! Your comment is a non sequiter since Romney care is different than obamacare. There's a pretty good set of reasons why Romney care has been operating for "6 years without the doom and gloom." Really - go read the recaps of obamacare... it's not the same.
I brought up Hawaii because I know about it, I've seen it work, and I helped implement Hawaii's health care reform thirty years ago, so I know that bill fairly well. And I know the tweaks and changes they've made to accommodate all the concerns of everyone.
This ACA bill has so much pork, so many mandates, so many non-healthcare provisions, and so much crap added to it that it's a nightmare.
Many Democrats who originally supported it are backing away from it. They are the ones whose feet are being held to the fire.
Also - obamacare is NOT romneycare. Just as obamacare is not the Hawaii healthcare law. If you support obamacare because the Massachusetts law works, then you haven't done your homework...
Since you brought it up... here are some of the differences between the two laws
Overall Scope
Romney care:
- The bill is 70 pages long
- Romney vetoed significant sections of the bill including the employer penalty for not providing health insurance.
-Romney favored an “opt out” provision from the mandate
-No federal govt. insurance option
-Intended as a market driven solution to healthcare
Obamacare:
-The bill was 2,074 pages (has now ballooned to more than 20,000 pages with added regulations)
-Very broad regulation of the insurance industry including an employer penalty for not providing health insurance and no "opt out" provision
- Leaves open the option of creating single-payer govt. insurance in the future
- Intended as a step toward govt. run insurance
- Favored groups such as unions and (being debated now) members of Congress being exempted
Costs
Romney Care:
-No new taxes were imposed to pay for this insurance
- The state’s budget was balanced first, then they passed the healthcare law
-No cuts to Medicare benefits
-Modest cost to state (only added 1% to state budget)
Obamacare:
-Increased taxes by $500 billion
-Despite massive federal govt. debt, Obamacare was still passed
- Hidden taxes, newly formed commissions, enforcement agencies, and onerous small business laws were included to help pay for the provisions -- most of which were ignored or missed by Congress as they were discussing it. Only now are we seeing what all those additional items were and what they mean.
- Cuts to Medicare equaling or exceeding $500 billion
- Overall costs unknown and growing
Popularity
Romneycare:
- Strong bipartisan support as it moved through the process
- Strong special interest support - hospitals, doctors, corporations, individuals all supported this during its creation and implementation
-Very popular among the public in Massachusetts
-Strong consensus of approval was built in the state to support the law
-Consensus was built to support an individual mandate
Obamacare:
-Absolutely no bipartisan support
-Very controversial and divided special interest groups
-Unpopular in nation overall - Currently 55% view the law unfavorably (Rasmussen poll)
CNN did a poll in 2011 that showed half favored repealing the bill altogether and only 6% favored it the way it was written
-No consensus was ever built to support a mandate
Constitutionality
Romneycare:
-Constitutional both according to Massachusetts Constitution and the US Constitution
-Regardless of how the Supreme Court rules on Obamacare, Romneycare will remain Constitutional (see note under Federalism - it's a STATE solution to a STATE problem.)
Obamacare:
- Penalties for non-compliance against individuals
- Potentially unconstitutional
- Supreme Court has yet to rule on 10th amendment limitations of federal govt. power regarding this law
- Implementation promises to be unwieldy and invasive. Three agencies will be looking at your private information; they will have access to all your bank records once you apply and have given themselves the right to snoop into your private accounts any time they want after that
- This is one step closer to the National ID they are trying to push through (nothing works in a vacuum)
Federalism
Romneycare:
- A state solution to a state problem (Just as state-by-state vehicle insurance laws take the needs of the state into consideration, Romneycare - and the Hawaii law - are created to address local concerns)
-Through collaboration and discussion, Massachusetts created a consensus among stake holders to support the new law
Obamacare:
- Federal gov. “one-size-fits-all” plan - which rarely works.
- States' Rights are being attacked with a law like this that crosses State lines.
- There are numerous questions about the Federal govt's ability and rights to force the purchase of anything on all citizens of the US. These challenges are currently pending before the Supreme Court.
-Doesn’t take into account that each state is unique in important ways such as:
1 )Vastly different debt levels between states (some states can’t afford new spending on health care)
2) Some states have three times the percentage of uninsured citizens (Much greater costs will be imposed on states with a larger percentage of uninusured citizens)
3) Conservative states will reject implementation of federal govt. plan.
Thanks to Ben for your help with this, to my assistant for the research, and for the State of Mass. for printing a recap of your bill. The above is a paraphrasing of numerous sources, including the text of the ACA bill.