Some Final thoughts on the ACA


I think the final analysis of this subject goes a little like this.
1) The ACA will remain the law until such time as the People make their leaders listen. I don’t hold much confidence in that since every entitlement program ever initiated in the USA has stayed in effect in one way or another.

2) ACA enrollment will take time but regardless of the website the sign ups,government growth and everything else will roll on.

3) In time the People will forget about what has been put upon them and just go about life,completely unaware that a numb of issues in their lives and their children’s lives are damaged forever.

4) Over time the masses will become complacent,compliant and even supportive of what comes from this.

5) Insurance companies WILL MAKE TONS AND TONS OF MONEY

6) Spin doctors will persist with the pro O Care ones winning the day.

7) The tax argument which was illegally drafted in the Supreme Court will become the harshest precedent US society will ever face.  I hope the liberals remember when the sword is tipping up against their throats.

8) I find it ironic and delicious that single payer is actually less likely to occur anytime soon than in any other time in US history. Contrary to those that say ACA will usher it [single] in I believe the forced commerce will actually keep it out. One of the ways I find this to be true is that individuals over the very short term will be forced to carry their own health insurance via exchanges and twisted arrangements with their employers. this will come in the form of CDHC plans and will also dawn very soon under the guise of “portability plans” which will find GOP support.

9) Of all my predictions this one is the strongest I believe in. We are about to experience an acceleration of cash and class divide that will bring memories of the worse times flooding back. We’re talking early 20th Century on steroids.

I know my scores on procrastinations are in total no more than .500 batting. I missed the Romney election by a mile and then some and Hugo Chavez did everything I thought he would but start a conflict I was sure he’d do. Still I think the writing is on the wall on this one and even a tea leaf reading crank like me can see it for what its worth.
Will the USA survive it? Will it be a USA worth caring if it does?



  1. Rutherford says:

    My thoughts:
    1 is true and what divides the nation politically is — is this a good thing or a bad thing?
    2 is true and I just saw an analysis today that in most corporate insurance enrollment periods people wait until the last minute to enroll. With this logic, Obamacare will see the bulk of its enrollments in late March. God help them if they can’t get the web site ready by then.
    3 is true but melodramatic. We are a short attention-span country. We FORGET EVERYTHING and move on. The only variable is how long it takes us to forget. 9/11 is a distant albeit horrific memory but folks have moved on. The Newtown shooting was about as bad as it gets but it’s forgotten by all but the still grieving.
    4 seems related to 3 (and stated less melodramatically) and is true.
    5 is true and a goddam shame.
    6 is true because 99% of news now is spin. There is no truth anymore.
    7 confuses me — you’re saying the Supreme’s decision was legally without merit?
    8 may very well be true. Many liberals hope this is a first step toward single payer but once commerce gets their teeth into something, there is no dislodging them. I never thought about it this way but I think you may be right. Obama put the final nail in the single payer coffin. (The irony for conservatives is that this is JUST what they should be most pleased about. If we forget about the personal mandate (which is necessary to make the whole thing work) ACA should actually thrill conservatives. And of course — it once did — it is from the Heritage Foundation after all — including the personal mandate.)
    9 partly escapes me because I don’t fully understand your historical reference, but ACA is a gnat on the ass of the class divide. The class divide in this country was coming long before the ACA and would be present in dangerous proportions even if the ACA were repealed tomorrow.

    Alfie I think you batted at least .750 on this one. 🙂

  2. Alfie says:

    Thanks for stopping by Rutherford. I said we’ll move,on we differ in the belief that unchecked there are too many parts of the ACA that will prove very negative.
    You’re absolutely right that there is a high degree of conservative hypocrisy regards the fundamentals of ACA. For crying out loud since plans will move towards high deductible HSA type plans the righties should be quite happy. In my prediction of where healthcare is going I spoke of portability plans. Those plans will see the removal of the alleged tax benefit employer supplied health care plans offer. You want to see hypocrisy and screaming in the streets from both side wait until that happens.
    As for SCOTUS part. Yeah I am of the camp that the Court ruled on facts not in evidence. They ruled this was all a tax issue. It was not written that way and was painstakingly presented as anything but a tax yet the Supremes went where they did. So yes I think the law was illegally given credibility,unconstitutional in nature. Another example of the legislative branch shirking and the judicial stepping up way stronger than they were ever meant to be.
    The class divide is pretty clear to me. That where health care still is and is likely to be the rich will get richer and will have better care options. The poor and otherwise fiscally challenged will feel a hard and unrelenting squeeze. Location will be crucial as well. You can be whatever money wise in Boston and your care will be excellent. Rural areas and many other parts of ” fly over” America are all ready under siege to monopoly care. Hell,in the Pittsburgh metro two insurance companies/ hospital systems control almost ALL health care access and have squashed CA Kaiser Permanante controls over 75% of healthcare options. There has to be fallout from this,this much is seen in your own comment about commerce getting its teeth in.
    My batting average is plus and minus predictions throughout my time blogging.

  3. eltigre100 says:

    Alfie, I must.

    “Another example of the legislative branch shirking and the judicial stepping up way stronger than they were ever meant to be.”

    I believe a fair reading of the Roberts’ opinion is, in fact, the exact opposite. Roberts’ stated justification for his acceptance of a the Obama “pull-it-out-its-ass” and completely inconsistent argument that the unquestionable “penalty” is really in the nature of a “tax” rests on his misplaced belief in judicial restraint, i.e. that the only constitutionally valid solution is political (legislative) and not judicial.

    You know how I feel about the truly flawed opinion and what I believe motivated it. However, I disagree with your assessment that it represents judicial strength rather than deliberate weakness.

    And though I think people do forget much about what created their current existence, I am far less optimistic that this will not economically rock the working majority to the core in a way that won’t be forgotten come election time.

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