CobbVol
Junior Member
- Joined
- Jun 21, 2006
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The truth is blatantly obvious to anybody with two eyes. Donald Trump hates obamacare. Privileged Republicans also hate the fact that we have a socialist program that allows people to have basic health care.So tell Chuck to open the Government already. It was blamed on the Rs last time they were in the minority and pulled the same type of stunt. Now it's squarely on the Ds to open the Government. Stop blaming MAGA and start blaming the Dems who have already owned up to being responsible for the shutdown to gain leverage.
The truth is blatantly obvious to anybody with two eyes. Donald Trump hates obamacare. Privileged Republicans also hate the fact that we have a socialist program that allows people to have basic health care.
The current shutdown exists virtually solely because the Republicans are trying to kneecap obamacare. You know it's true. I know it's true. Unless you are just trying to deny reality.
You may not like Obamacare but I do and the majority of Americans do. Sadly for you, in our Democratic Republic majority rules. So I'm happy that the Democrats are going to force Trump in the rest of his goons to fund obamacare.
Are the democrats in charge in any capacity in the executive or legislative branch?So tell Chuck to open the Government already. It was blamed on the Rs last time they were in the minority and pulled the same type of stunt. Now it's squarely on the Ds to open the Government. Stop blaming MAGA and start blaming the Dems who have already owned up to being responsible for the shutdown to gain leverage.
Seems the majority of Americans blame Republicans for the current government shutdown. Hell even Fox News their polls show that most people blame Republicans. So your opinion is in a minority.Many Dems have used the term "this is the only leverage we have..." That is an admission that they are the ones doing this
If you knew how often general aviation drops from the sky through their own incompetence you'd understand.
Obamacare failed on just about every metric promised.The truth is blatantly obvious to anybody with two eyes. Donald Trump hates obamacare. Privileged Republicans also hate the fact that we have a socialist program that allows people to have basic health care.
The current shutdown exists virtually solely because the Republicans are trying to kneecap obamacare. You know it's true. I know it's true. Unless you are just trying to deny reality.
You may not like Obamacare but I do and the majority of Americans do. Sadly for you, in our Democratic Republic majority rules. So I'm happy that the Democrats are going to force Trump in the rest of his goons to fund obamacare.
Mkay. So I gather from our conversations that you're a small business owner. I'm a small business owner. Trying to get an individual plan for healthcare is ungodly expensive and these guys often look for pre-existing conditions as a disqualifier.There has been nothing affordable about the ACA.
Ok. So what's the solution then?Obamacare failed on just about every metric promised.
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thehill.com
Yall act like AI is the be all end all. Is that cuz Trump touted it? Anything safety related I want humans involved. AI can help guide decisions but I wouldn't rely on it like it's gospel. I've heard ATC work issues with people having issues with exactly what you mentioned. On the fly. Even board favorite Grok admits it can't do a controllers job. But I'm all for making some sectors totally AI controlled and letting AI fans get exclusive usage.I do know, I'm very familiar with general aviation. I don't think having AI involved in ATC would prevent an idiot outflying his capabilities, not putting in enough gas or neglecting maintenance.
Grok is the MAGA voice of God in the burning bush. But this time I'm sure Grok is wrong. Did you put a caveat in the command line request that you hate Obama?King Grok says:
Has the ACA been successful and cost effective?
### Has the ACA Been Successful and Cost-Effective?
The **Affordable Care Act (ACA)**, enacted in 2010 and fully implemented by 2014, aimed to:
1. **Expand coverage** (reduce uninsured rate).
2. **Improve quality** (mandate essential benefits, preventive care).
3. **Lower costs** (slow healthcare spending growth, protect consumers).
Below is a **data-driven assessment** of success and cost-effectiveness as of 2025.
---
## 1. **Coverage Expansion: Highly Successful**
| Metric | Pre-ACA (2009) | Post-ACA (2024) | Change |
|--------|----------------|-----------------|--------|
| **Uninsured Rate** | 16.0% (~48.6M) | **7.2%** (~23.3M) | **↓ 55%** |
| **Medicaid Enrollment** | 58M | **92M** | ↑ 59% |
| **Marketplace Enrollment** | N/A | **21.3M** (2024 open enrollment) | New system |
| **Young Adults (19–25)** | 34% uninsured | **15%** uninsured | ↓ 56% |
*Sources: CDC NHIS, CMS, Census Bureau*
**Key Wins**:
- **20+ million** gained coverage.
- **No more denials** for pre-existing conditions.
- **Kids stay on parents’ plans** until 26.
- **Essential benefits** (maternity, mental health, Rx) now standard.
---
## 2. **Healthcare Quality: Moderate Success**
| Improvement | Evidence |
|------------|--------|
| **Preventive Care** | Free screenings → ↑ mammograms (+10%), colonoscopies (+8%) |
| **Hospital Readmissions** | ↓ 8% for Medicare patients (2010–2016) |
| **Patient Protections** | Eliminated lifetime caps, rescissions |
| **Value-Based Care** | Shifted payments from volume to outcomes |
*Some metrics (e.g., life expectancy) stagnated due to opioids, obesity — not ACA-specific.*
---
## 3. **Cost Control: Mixed — Slower Growth, But Still Rising**
### **National Health Expenditure (NHE) Growth**
| Period | Annual Growth Rate |
|--------|--------------------|
| Pre-ACA (2000–2009) | **6.6%** |
| Post-ACA (2010–2019) | **4.4%** |
| Post-ACA (2020–2023) | **6.1%** (COVID spike) |
| Projected (2024–2032) | **5.4%** |
*Source: CMS National Health Expenditure Accounts*
> **ACA slowed cost growth by ~2 percentage points per year** in its first decade — **saving ~$1.3 trillion** (CBO estimate).
---
### **Premiums & Out-of-Pocket Costs**
| Market | Pre-ACA | 2024 | Notes |
|--------|--------|------|-------|
| **Individual Market** | $215/month (avg) | **$477** (before subsidies) | But **$77** *after* subsidies (89% get help) |
| **Employer Plans** | $4,300 (family) | **$7,400** (family contribution) | Growth slowed post-2014 |
| **Deductibles** | $1,100 (single) | **$1,735** | Still high, but capped for low-income |
*90% of marketplace enrollees pay <$100/month due to subsidies.*
---
## 4. **Budget Impact: More Expensive Than Projected, But Offset**
| CBO Projections | 2010 Estimate (2010–2019) | Actual (2010–2019) |
|------------------|----------------------------|---------------------|
| **Cost** | $710B | **$1.2T** |
| **Revenue/Offsets** | $780B | **$1.1T** |
| **Net Deficit Impact** | **–$124B** (reduction) | **–$350B** (larger reduction) |
*Sources: CBO, Treasury*
**Why higher costs?** More people enrolled than expected (especially Medicaid expansion in 40+ states).
**Offsets worked**: Taxes on high earners, medical devices, insurers → exceeded projections.
---
## 5. **Criticisms & Trade-Offs**
| Issue | Reality |
|-------|--------|
| **"Premiums skyrocketed"** | False for subsidized; true for some middle-class non-subsidized. |
| **"Job lock / 29ers"** | Some firms cut hours — but labor data shows **no major employment drop** (CEA). |
| **"Government takeover"** | Still private insurance; ACA regulates, doesn’t replace. |
| **State variability** | Non-expansion states (e.g., TX, FL) have **2x uninsured rate** of expansion states. |
---
## Final Verdict
| Goal | Grade | Notes |
|------|-------|-------|
| **Expand Access** | **A** | Uninsured rate cut in half |
| **Improve Quality** | **B+** | Preventive care ↑, protections strong |
| **Control Costs** | **B–** | Growth slowed, but premiums/deductibles still burden some |
| **Cost-Effective?** | **Yes, with caveats** | $1.3T in savings, $350B deficit reduction — but long-term sustainability depends on future reforms |
> **The ACA is one of the most successful social programs in U.S. history by coverage gains** — and **moderately cost-effective**, bending the cost curve without collapsing the system.
It’s not perfect. Premiums remain high for the unsubsidized middle class, and rural hospital closures persist. But **repealing it without replacement would re-create 20M+ uninsured and pre-existing condition denials**.
If you want state-level data, repeal scenarios, or comparisons to Medicare for All, let me know.
