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Response to Tom Rinaldo (Original post)

Tue Feb 12, 2019, 12:34 PM

7. Vox has good articles about the various Mfa plans

that everyone should read. Not all Mfa's are equal by any means.

We read Democrats’ 8 plans for universal health care. Here’s how they work.
https://www.vox.com/2018/12/13/18103087/medicare-for-all-single-payer-democrats-sanders-jayapal

Is employer-sponsored insurance really a good deal for workers? Company insurance is deeply entrenched and poses a big challenge to Medicare-for-all — but costs for those plans are on the rise.
https://www.vox.com/policy-and-politics/2018/12/14/18117917/medicare-for-all-explained-health-insurance-deductibles

The “pleasant ambiguity” of Medicare-for-all in 2018, explained: Are we talking about single-payer health care or something else?
https://www.vox.com/policy-and-politics/2018/7/2/17468448/medicare-for-all-single-payer-health-care-2018-elections

As someone who's on Medicare, the last thing I want for everyone is to regress from the ACA to what I have now. Whatever comes next must be more affordable for all, 70% coverage plus deductibles, etc., will NOT do!, and must include the many advances and higher standards in healthcare support and delivery already achieved through the ACA which Medicare does not contain.

Not that I'm afraid all but some of the blue-dog Democrats won't be fully committed to just that. It's really starting to look as if the next, incremental stage of healthcare revolution begun with the ACA could be styled as "Mfa." There's really not much difference in what we'd see at our end; different labels, coverages expanded as they would be under the ACA, but both would still use for-profit providers and venders until we changed some of that.

Which means that, under any name, many of the dedicated and brilliant people who created and fought for the ACA, will be fully involved to make sure what comes next is what we need, and they always intended, it to be. Including able to withstand attempts to destroy it by having it declared unconstitutional. That may be a reason for rolling the ACA under Medicare, if there was legal protection or opportunity to gain.

However, realize that opponents absolutely would use the opportunity of transition to a new system to make that transition to something less, not more. Many Americans on both right and left have now been talked into the idea of having congress make the ACA better by replacing it. Just a vote in the house and then the senate if things don't go our way in 2020, and it could all be wiped out.

Further, and far larger, the anti-government right, always very wealthy and always with us, is determined to destroy Medicare itself by having all such programs interpreted as unconstitutional. This battle will continue under any name until a definitive victory by either side. Then it will start all over again. That battle is why it took over 70 years to get the ACA passed.

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