What Comes After Obamacare | GOPLifer

Single payer.  - gwc

What Comes After Obamacare | GOPLifer: by Chris Ladd

The core problem behind the GOP’s Obamacare gambit is we still have no alternative to offer. As a consequence, winning this campaign would probably be worse than losing. What comes after Obamacare? At this point the most likely answer is some form of single-payer insurance.

Through the cloud of hype and lies that has obscured the rollout of Healthcare.gov, one fact has emerged which should be giving Republicans pause. Expanded Medicaid enrollments under the ACA are rolling along smoothly. The Federal government, which according to Republican conventional wisdom cannot manage healthcare, is signing up new Medicaid recipients at a breakneck pace without a hitch.

Which part of the ACA is failing so far? The one involving private health insurers.

Without some alternative plan to offer, the GOP will be in no position to gain from Obama’s troubles. Rock-throwing is not policy. The bubble-dwellers have missed out on one crucial fact about public-opinion on Obamacare. A large component of the public opposition to the ACA is based on the fact that it fails to provide a publicly funded insurance program available to everyone.

Oh, and by the way, the process of enrolling new Medicaid recipients is rolling along swimmingly. Did I mention that?

Of all the complaints about the ACA, the one with the most traction in the real world is the fact that many middle earners who were previously paying for their own insurance will now pay more. They will pay more because the lousy policies they had been carrying have been legislated out of existence, they do not qualify for lower-income subsidies, and because they live in states that are resisting the provisions of the law that might otherwise have helped them buy better insurance.

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