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#affordable care act – @thesmithian-blog on Tumblr
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The Smithian

@thesmithian-blog / thesmithian-blog.tumblr.com

culture is politics. politics is culture. [beta]
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Four decades before Obama’s ACA, Hawaii enacted its own health-care mandate...the state has poured billions...into rebuilding highways and infrastructure, bringing the unemployment rate down to an enviable 4.4 percent. Gay marriage is legal, immigrants are welcomed, labor unions are strong and—if the governor gets his way this year—universal pre-kindergarten will be the law of the land...there are no tea party stars to bicker with and no Congress to stand in the way. There’s hardly a viable GOP...The Aloha State, with its liberal governor and overwhelmingly Democratic legislature, has succeeded in achieving much of the vision Obama has yet to accomplish on the mainland.

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art: watercolor map by Irina March

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...with $500 million of advertising spending now in the pipeline. Insurers think [the Affordable Care Act] is going to work...some people will see this as bad news...

...Obamacare is just going to add to insurer profits! And it will indeed make money for the likes of Aetna and Wellpoint. In an ideal world, this wouldn’t be happening: single payer would clearly have been a better system. But it wasn’t going to happen. This was the health reform we could get—and when it works, as the big money now believes it will, it’s going to make a huge, positive difference to millions of lives.
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...of the more than a million Americans who are infected with HIV (there are fifty thousand new cases a year), many have no decent health care, and nearly a third are not even aware they are infected. Racism, homophobia, and poverty continue to drive much of the epidemic. Minorities have the highest infection levels and are least likely to have access to satisfactory medical attention or drug treatments. Obamacare will help, but how fast or how well, nobody yet knows. This should be repulsive to us all; those people need education immediately, but there is little public funding available to teach young gay African-American men how to have sex with each other safely. That’s the society we seem to have become.

Michael Specter, in response to this, about the rise in unprotected sex.

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The Affordable Care Act depends on richer people paying higher taxes to finance health insurance for lower-income people...

...Starting this year, a healthcare surtax of 3.8 percent is applied to capital gains and dividend income of individuals earning more than $200,000 and a nine-tenths of 1 percent healthcare tax to wages over $200,000 or couples over $250,000. Together, the two taxes will raise an estimated $317.7 billion over 10 years...the justification is plain: We are becoming a vastly unequal society in which most of the economic gains are going to the top. It’s only just that those with higher incomes bear some responsibility for maintaining the health of Americans who are less fortunate...This is a profoundly moral argument about who we are and what we owe each other as Americans. But Democrats have failed to make it...
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...as Obama is finding, it’s hard for one party to make government work when the other party is determined to make government fail. Yes, the healthcare.gov debacle is manifestly “on us,” as Obama had to concede last week. But it happened in the face of a relentless campaign by the G.O.P. to do everything possible to prevent the law from taking effect, or from working if it did.

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Left out of the thousands of words written about...the [GOP's] nihilistic willingness to crash the world economy, about Republicans' laser focus on obliterating the Affordable Care Act (ACA), was the fact that two of the poster boys for this suicide mission were the sons of Cuban exiles whose fears about socialism were willingly and willfully exploited by the radial Right.

Achy Obejas, at In These Times

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'...insurance companies have sent misleading letters to consumers, trying to lock them into the companies' own, sometimes more expensive health insurance plans rather than let them shop for insurance and tax credits on the Obamacare marketplaces—which could lead to people...spending thousands more...than the law intended. In some cases, mentions of the marketplace...are relegated to a mere footnote...The extreme lengths to which some insurance companies are going to hold on to existing customers at higher price, as the Affordable Care Act fundamentally re-orders the individual insurance market, has caught the attention of state insurance regulators. The insurance companies argue that it's simply capitalism at work. But regulators don't see it that way.'

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'...since the defeat of the Clinton health care reform, Repubs have never actually proposed a concrete health care reform plan of their own...this fundamental point needs to be re-emphasized, since Republican politicians and pundits sometimes try to pretend (or insinuate) otherwise. The Republicans have proposed *no* serious alternative to the Affordable Care Act...'

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'Republicans are unhinged by the fear that Barack Obama will once again turn out to be as strong a finisher as Mr. Smith...who, after a certain amount of bumbling, ends up on top. That’s the Obama who won the nomination and the election in 2008, got health care passed in 2010, cruised to reëlection in 2012, and, as of now, has somehow presided over a degree of diplomatic progress, with respect to the Syrian poison-gas attacks and the Iranian nuclear threat, that would have been simply unimaginable a couple of months ago.'

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