At our dinner tomorrow, there will be no argument about the need for the ACA, Affordable Care Act. That's the true name, of course, and my bias is we make
a BIG mistake by calling it this other name. One more thing. We could have had, should have had SINGLE PAYER. Link is to Wikepedia definition--
"government, rather than private insurers, pays for all health care costs."
Much more direct than the one at Physicians for a National Health Program--
"...one entity acting as administrator, or payer...a single-payer system would be setup such that one entity—a government run organization—would collect all health care fees."
My own experience in New York with PNHP only confirmed my feelings that many of them could not make the leap of faith toward a radically changed system. Nor risk unhappiness in the health insurance world. The true belivers were mostly young doctors and residents. Those of us who worked for a sensible, egalitarian, workable approach are sad as we watch the unruliness of the ACA rollout.
Tonight on NPR's "Marketplace" program, Craig LeMoult had a informative history lesson about how successful the government had been in rolling out Social Security and Medicare--and why. The Obama administration could have done us and themselves a big favor by better preparation for the introduction of something very new. Could have had great vignettes on how citizens and bureaucrats dealt with those changes.
Oops...just heard that small businesses will not be able to buy health care until next year. That could change turkey-day conversation tomorrow. But with five kids in the mix, we'll probably stick to the weather-- sunny and not-too cold. Much conversation in Portland these days around marijuana--medical and otherwise and what to name the new bridge (only for light rail, bikes, people--no cars) that will cross the Willamette River.
The latter has resemblance to an episode of Portlandia since a City councilman suggested Lisa Simpson of TV fame. Along with others, my vote has gone to Abigail Scott Duniway, suffragette who worked tirelessly for Oregon women to get the vote in 1912. See The Abigail Bridge Facebook page, and video by Girl Scouts. Makes me hopeful along with thankful!