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In reply to the discussion: How Obama and the Democrats failed to defend the universal right to healthcare [View all]BlueCaliDem
(15,438 posts)In most gripes against the PPACA, people forget the Medical-to-Loss-Ratio: insurance companies must use 80% (for private policies) or 85% (for businesses) of the premiums they collect on the patient, not their advertising and executive bonuses. Since the MLR kicked in January 2013, premiums have dropped and they will continue to drop.
Proponents of California OneCare are silent at the moment, but it sounds as if they're going to press for California OneCare when the time is right (closer to 2017). Implementing a single-payer system is incredibly expensive, but the PPACA under the "States Innovation and Medicaid Waiver" clause, they'll get most of the funding necessary should they decide to install a system that:
1)...Is at least as comprehensive as ACA coverage,
2)...Is at least as affordable as ACA coverage,
3)...Covers at least as many residents as the ACA would have covered, and
4)...Will not increase the federal deficit.
And the only system that does the above is single-payer.
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