So, how should the ACA be fixed?

[Yavin4]

Allow people to buy into Medicare who don't qualify for it, e.g. younger folk.

[TeamPooka]

1. National single payer system. Next question?

[Yavin4]

3. Wouldn't allowing people to buy Medicare accomplish the same thing?

At some point private insurance would be cost prohibitive.

[vlyons]

4. medicare for all

get rid of for-profit insurance companies

[DinahMoeHum]

2. Single payer. . .ie. Medicare For All.

n/t

[Squinch]

9. Aren't those two different things? Doesn't Medicare for all keep insurance companies in the picture?

[Liberal In Texas]

5. First thing...Restore the risk corridor.

Could that happen with this bunch of RWers in power, probably not.

[Squinch]

10. The pressure to do this should be as relentless as the pressure not to repeal was.

[Freddie]

6. work for single payer, but...

Tax the rich a little more.
Use the $$ to: reduce out-of-pockets (most people's biggest gripe with exchange plans), improve the subsidies (instead of capping at $48000, a gradual drop-off $48000 to $75000), end the "family glitch". These things could be done with cooperation of a few in the "Tuesday Group". Or probably not.

[TeamPooka]

8. The GOP will not do anything legislatively to "fix" healthcare in any way. Moot argument on repairs

like this so on to single payer.
But I like all your fixes and maybe we can do that in 2019 if we take back the house and senate in 2018

[Heather MC]

7. Single Payer

[kentuck]

11. Offer Medicare in those counties with only one insurance company...

To make sure they have some competition.

[NCTraveler]

14. Very interesting "foot in the door" approach.

Also seems like it would be pretty basic and straight forward with respect to what the legislation would actually look like.

[uponit7771]

18. +1, Even if this doesn't work perfectly we know its the way to go !!!

[BainsBane]

12. That would be great

[NCTraveler]

13. Considering public opinion, I'm not sure it needs to be fixed.

When we get the numbers we will lose just as much clout going for Medicare for all compared to a buy in. Please don't get me wrong, I would be very happy with a buy in. I still say the next step can be to scrap the ACA. At some point we will need to make that bold move. I am all about instrumentalism in many areas. Considering public opinion, we might not want that approach here.

[Starry Messenger]

15. A better threshold for who qualifies for subsidies

It's pegged to a federal guide for poverty (if I recall) but COL in states like mine make what looks like a better income not mean much when looking at what is left in your budget after living expenses.

[Orsino]

16. Phase in Medicare, first for the most vulnerable...

...and lower the age threshold. Allow some people to buy in. Begin to transition jobs in the private health insurance industry into Medicare billing. Merge Medicare and the VA.

[Mz Pip]

17. Cost needs to be addressed

Costs for health care vary greatly. Over priced drugs, over priced procedures jack up the cost of health care.

I can see some specialized treatments being expensive but why should a broken wrist requiring no surgery cost $13,000?
Medicare for all would be great but costs still have to come down.