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Paid off? So it accomplished the main selling point of reducing health care costs by $2,500 for each American family? Maybe some creative accounting can make that true?

It also was supposed to be paid for, not so much.

Also, maybe it was lost in the history that made it to Austin but we seem to be forgetting that the plan was so unpopular even Massachusetts voted a Republican to stop it. Luckily a little parliamentary trick and we are back on track.

This revisionist history about Americans love Obamacare reduces a complex 2000 page of legislate text (10s of thousands of more pages when you actually get the rules because the legislative branch has given their powers to the executive branch) to like 4 items. Health care for people with preexisting conditions, stay on parents plan longer, out of pocket max limits, no lifetime limits.

There were bipartisan ways to solve those.

It doesn’t poll on the consequences like limited networks due to Obamacare, higher prices, longer waits for specialties, unaffordable entitlements, higher taxes on medical devices (that must have been a Jarrod Bernstein idea, decrease medical costs by raising prices) or crappy medical record software like Epic. Luckily the Obama donors got a great ROR on that bribe, sorry contribution.

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Another Great article Professor!

It was widespread knowledge that when pollsters and reporters asked people if they liked "Obamacare" they would say no. But if asked, instead, if they liked the numerous provisions of the law, it was overwhelmingly popular. Democrats and Obama eventually leaned in and owned the name rather than the official Patient Protection and Affordable Care Act (PPACA).

The attempt to downplay the significance of the implementation Republicans swiped at Pelosi's comment out of context "we have to pass the bill to see what's in it." Of course she meant the House had to pass it so it and the Senate bill would go to reconciliation to arrive at a final bill both chambers would approve and Obama sign.

My friend Elisa Slotkin, US House Representative from Michigan's 7th District (formerly the 8th before 2020 redistricting) decided to run for office in the 2018 election against an incumbent Republican. She was infuriated at her congressman for smiling standing with a bunch of GOP House Reps touting the repeal of Obamacare. Her mother had suffered from cancer for years and only now, under Obamacare could she get coverage due to pre-existing conditions and here's her congressman, Mike Bishop, gloating about the house vote! She ran in 2018 and won, one of two GOP held districts to flip to Democrats that election. (The other was Haley Stevens, who had worked on Steve Rattner's commission that saved the auto business).

What really saved Obamacare though was one man- John McCain- with his NO vote in the Senate in 2017. Frankly, I don't care if his vote was a true conversion from the guy who voted no in 2010 or simply a means to stick it to Trump. The result matters.

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Thanks for that insight, Dennis.

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Also worth reminding folks that the “Obamacare” plan to which the Republicans were in such heated opposition - and remain so, per Trump’s words anyway - was to a large extent based on the “Romneycare” enacted by the 2012 GOP nominee in Massachusetts when he was governor.

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Probably the high point of a fairly successful presidency. It was a gamble going without support any Republican. But it was something he believed in and pushed it through. America has been better for it and that no vote of the Republicans turned them into the obstructionists we now see. It has come through with the the border control legislation Biden had signed a number of months ago. What is best for the country demands bipartisan thinking rather than simple holding power seems gone for now.

Fine reference by Dennis as a backdrop to the medical care legislation. Is the next step something along the line of Medicare for all? I would think in time.

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