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freshwest

(53,661 posts)
14. Here are some more details, I'd stopped posting the defense of the ACA some time back:
Fri Jan 9, 2015, 01:48 PM
Jan 2015
to BlueCaliDem

9. This has been the conundrum that President Obama and Democrats were faced when mulling single-payer vs a system that Germany, the Netherlands, Belgium, and other European countries have chosen: half gov't (subsidies), half private (premiums). This is ObamaCare at its core today and it's less expensive and quicker to implement.

Lest some forget, it took Canada no less than thirty years to implement their single-payer system. Considering the presidents and Congresses we've had in the past thirty years, I don't see how we could've done it.

That said, a provision in ObamaCare does provide for each State to either implement the ACA or they can apply for a waiver under subsection 1332 the "State Innovation Waiver" which will help fund their own system if that system can show that they can cover more people for less and won't burden the Federal budget. NO STATE can afford to implement single-payer because it's just too expensive to set up - as Vermont is now finding out.

So to those who claim that President Obama and Democrats had abandoned single-payer... they need to read section 1332 in the ACA. Single-payer is there. It's up to them and their State to choose that route.


http://www.democraticunderground.com/1014984216#post9

If you go to the link there the part I have underllined will produce the document. The reason I stopped defending it is because the attacks on PBO about single payer were made baseless but no one seemed to want to hear it.

And it's from a thread that is reporting and complaining about the VT governor who was trying to implement but there is not sufficient state revenue to do so. So VT did not get it, but may have done Medicaid expansion. I wish that people would look deeper into how these things happen or don't happen. Believe me, I wish my state implemented it. But after we did the Medicaid expansion the GOP legislators here tried to literally defund the entire state government and it took months to resolve. The enemy of single payer and Medicaid expansion is not the Democratic Party or our elected officials. The opposing forces exist in blue states, too.

At this point I have to leave for an appointment, though and not search any further.

Thanks for the post.

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