The Affordable Care Act (ACA, Obamacare) – Two years Later23. October 2012 by donalsd_admin

The federal mandate lawsuit has ended, still only partially implemented and still no way to pay for it.

The Affordable Care Act is now the law of the land; however its implementation is far from complete.  A year ago this author wrote an op-ed and a blog concerning the prognosis of Obamacare.  The Supreme Court has declared that the ACA is constitutional.  The major healthcare issues in the United States, including 50 million Americans uninsured, healthcare costs escalating to unaffordable levels, and less than stellar healthcare quality and value remain unchanged.  The positive element of Obama care is that 30 to 50,000,000 uninsured Americans will end up having coverage through Medicaid expansion or state run exchanges.  The problem however, is that very few of the exchanges have been set up and states are reluctant to expand Medicaid because of its cost.  Additionally, there is nothing on the horizon that will potentially reduce the cost of care, and improve the quality of care.  Additionally, there does not appear to be any effort to deal with the problem of medical malpractice lawsuit reform.

In this very critical election year, the Democratic ticket of Obama/Biden promises to continue the course of implementation, in spite of the seemingly insurmountable obstacles.  The Republican ticket of Romney/Ryan promises to repeal parts of the Affordable Care Act and substitute more market-driven solutions.  It appears that Pres. Obama has focused on the politically expedient elements and has not dealt with the more difficult problems of implementation, funding, quality of healthcare, escalating cost of healthcare, and medical malpractice lawsuit reform.

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