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So with all the health care debate going on right now, I have seen many people arguing back and forth. I think we can all agree changes are needed in our current system. The ACA is law at the moment and in my personal opinion, I hope that we can have a single payer system, nationally, and get rid of the for profit healthcare insurance companies (to me, the current system is like asking and arms dealer to broker a peace treaty) and to have true negotiating power to lower health costs.
However, Ive also seen arguments on a state by state basis for single payer. And in fact, a while ago, I asked about the possibility of states teaming up to create a regional single payer system and what would need to happen to occur.
However, I have thought of something else: a state public option. The ACA was supposed to have a public option but didn't. However could a state enact a public option and allow residents of that state to purchase public insurance? Its an idea that Im throwing out there. As in my other thread, this isn't about whether its a good idea or not, but is it possible and if so, how would it be set up. Thanks
You can forget the single payer ;rejected and ACA adopted after Hillary failure her own party wouldn't vote for. Obama didn't even campaign on mandated coverage. Never any public option consider other than Medicaid ;so I think you were not pay attention. Even a nationwide system of exchanges was rejected as well as allowing employees to take their employer benefit and go out side to exchanges. Its exactly has intend with no input allowed by anyone but democratic leadership and we see the results. The only changes will be by presidential exemptions now the same who created a lot of them by implementations errors. Many don't even many taxes and fee coming thru 2018.Most liberals only know they want free coverage paid for by someone else.
It could work in New England where there are very few minorities and many wealthy people, but it would be the death knell of states with the opposite demographics.
You can forget the single payer ;rejected and ACA adopted after Hillary failure her own party wouldn't vote for. Obama didn't even campaign on mandated coverage. Never any public option consider other than Medicaid ;so I think you were not pay attention. Even a nationwide system of exchanges was rejected as well as allowing employees to take their employer benefit and go out side to exchanges. Its exactly has intend with no input allowed by anyone but democratic leadership and we see the results. The only changes will be by presidential exemptions now the same who created a lot of them by implementations errors. Many don't even many taxes and fee coming thru 2018.Most liberals only know they want free coverage paid for by someone else.
You really think single payer is dead? Proponents of single payer are laughing (including me) because we knew this law kept the for profit insurance companies and didn't allow for the government to negotiate on lower prices like every other first world country. In essence, this didn't solve the issue of accessing healthcare for all, making sure all Americans are insured at a reasonable price. Many more will be covered, but single payer would have been simpler and easier and accomplished the goal. The public option was a consideration when the creation of the ACA was being done but too many democrats didn't have the cajones to do so because of the fear of losing a reelection, and only looking out for themselves . So it never got included in the final bill. But I apologize, because I brought this up to see how it would work on state level (I thought the right loved state rights?) and not to respond to your rant with mine.
So again, this thread is about the possibility of including a Public Option at a state level in accordance with the ACA. How would it be done? Would things like interstate commerce or other federal laws prohibit it? Please chime in peeps as I would like to brainstorm about the idea. Thanks
It could work in New England where there are very few minorities and many wealthy people, but it would be the death knell of states with the opposite demographics.
This is correct. Nj would be in serious trouble. Our taxes are already ridiculous. We are the most populated state per acre. We simply can't afford to pay more money out of our pockets here.
You really think single payer is dead? Proponents of single payer are laughing (including me) because we knew this law kept the for profit insurance companies and didn't allow for the government to negotiate on lower prices like every other first world country. In essence, this didn't solve the issue of accessing healthcare for all, making sure all Americans are insured at a reasonable price. Many more will be covered, but single payer would have been simpler and easier and accomplished the goal. The public option was a consideration when the creation of the ACA was being done but too many democrats didn't have the cajones to do so because of the fear of losing a reelection, and only looking out for themselves . So it never got included in the final bill. But I apologize, because I brought this up to see how it would work on state level (I thought the right loved state rights?) and not to respond to your rant with mine.
So again, this thread is about the possibility of including a Public Option at a state level in accordance with the ACA. How would it be done? Would things like interstate commerce or other federal laws prohibit it? Please chime in peeps as I would like to brainstorm about the idea. Thanks
Insurance companies average around 4% profit margin, which is below the national average for all businesses. We will see if Obamacare changes this.
I agree with you though. Obamacare as of now does not accomplish its goals of lowering costs and having virtually everyone covered. It needs to be replaced with something better.
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. So it never got included in the final bill. But I apologize, because I brought this up to see how it would work on state level (I thought the right loved state rights?) and not to respond to your rant with mine. 
