The ACA wasn't really designed. That was the core problem with the early Obama administration - the guy was a lecturer on constitutional law and naively believed that congress could come up with a coherent plan with minimal leadership from the executive branch. That's how it works on paper, but in practice congress needs to be led.
Universal health care wasn't on the table. They tried that back in '93 and it was obvious that the small majority they held in both houses wouldn't be enough to overcome the fight they'd have from the insurance and pharmaceutical industries. So Obama just waved vaguely in the direction of Romney's health care bill in Massachusetts (thinking Republicans would play along with creating a national version of their own party's legislation) and told congress to get to work.
It's a pity, because I think they could have pulled off a single payer solution if they'd gotten their act together.
The ACA wasn't really designed. That was the core problem with the early Obama administration - the guy was a lecturer on constitutional law and naively believed that congress could come up with a coherent plan with minimal leadership from the executive branch. That's how it works on paper, but in practice congress needs to be led.
Universal health care wasn't on the table. They tried that back in '93 and it was obvious that the small majority they held in both houses wouldn't be enough to overcome the fight they'd have from the insurance and pharmaceutical industries. So Obama just waved vaguely in the direction of Romney's health care bill in Massachusetts (thinking Republicans would play along with creating a national version of their own party's legislation) and told congress to get to work.
It's a pity, because I think they could have pulled off a single payer solution if they'd gotten their act together.
deleted by creator