michaelbarton
5 hours ago
I hope this win signals (to both parties) that voters are receptive and will get engaged when a clear message is presented about cost of living and quality of life issues. Some of which are taken for granted in most other western countries.
I’m no political wonk, and I’m curious what others with more insight might say about his ability to fund and implement his polices.
I’m reminided of Obama and his hopeful message but he was mostly stymied on policy goals. Specifically Obamacare as an example ended up being watered down
reenorap
3 hours ago
Obama was hated by San Franciscan progressives because he came in with all of these promises and then backtracked on almost all of them. He basically turned into a Bush-lite, and he even maintained every single one of Bush's policies as well as deadlines. For example, he talked a lot about abortion and then immediately said it wasn't a priority for him once he got into office. He never closed Guantanamo and in both elections said he didn't support gay marriage.
ACA is a failure and the only thing it did was make it mandatory and unaffordable at the same time. Income inequality skyrocketed under him as well. Anyone who wasn't rich enough to afford some sort of asset like stocks or real estate was left behind and is now suffering.
xivzgrev
3 hours ago
I'll give you one reason, among many, it wasn't a failure. It made it illegal to deny people health insurance coverage based on pre existing conditions. That was a big step forward in a broken system to restore some humanity to the system.
slg
2 hours ago
I'll throw in extending parental coverage to 26. I have a sibling with type 1 diabetes and it's impossible for me to describe the positive impact those two provisions have had on their life.
Just because a piece of a legislation includes painful compromises doesn't mean we should ignore its huge wins.
noir_lord
37 minutes ago
That has in part become the issue in modern politics, any compromise no matter how minor is seen as a loss.
Neither sides most ardent supporters was willing to accept anything that looked like a compromise and so you end up with things as they are now, with someone where compromise shouldn’t happen because their is no practical compromise.
US politics has collapse down to the scorpion and the frog.
politicalnit
17 minutes ago
Obama care was not a Democratic win it was another Republican win in a long list of Republican wins, where the dems tried to work with the republicans in good faith and implemented their policies for them. Sadly they realised to late that you should never work with right wing fascists because if you give those people your hand they will take the whole arm.
idiotsecant
2 hours ago
Absolutely. We have this bad habit of hating policies and politicians that make things 10% as good at they tried to do, but shrugging and ignoring politicians and policies that actively make our lives worse. Perfect is ideal. Better than we started with is still better.
dbg31415
2 hours ago
True (*)
They can't deny coverage for pre-existing conditions anymore, but insurers still have hundreds of other ways to avoid paying.
There's no silver lining in the U.S. healthcare system -- it's built to exhaust, confuse, and bankrupt patients. And it's only gotten worse in recent years. (Will only get worse with the addition of more AI.)
Joe Lieberman, a supposed Democrat, killed any real chance for reform we had in our generation. He then left Congress and quickly died -- his legacy is the broken healthcare system we have today, totally rigged against the very patients it's supposed to serve.
ZeroGravitas
40 minutes ago
Joe Lieberman and basically every Republican ever, for decades.
And the Republicams on the Supreme Court that hobbled what the Democrats managed to narrowly get through the political process.
But sure, direct all the anger for that towards Democrats, that will result in better Healthcare any day now. I hear Trump has concepts of a plan that he's been working on for over a decade that he'll let us know about in just 2 weeks.
johnnyanmac
35 minutes ago
I'm so tired of "this plan wasn't perfect, it failed. Democrats suck".
And meanwhile the republican plan was to do nothing or actively make things worse than ignoring the problem. Why are some people seemingly hardwired to just blame democrats for any or everything? Because the plans they have don't immediately benefit them, the middle class person who was never down on their luck?
Even then, I fail to think of any policy that legitmately benefits the middle class either. Did abortion bans improve your quality of life? Do immigration raids help your 401k? Did that cut to EV credits get you better public transit?
anovikov
an hour ago
Isn't it the same thing that made it unaffordable?
lazyasciiart
an hour ago
No, what made it unaffordable was scrapping the penalty on not having health insurance. If you force health insurance to cover everyone then you also need to force everyone to have health insurance to keep the system balanced. One way to do that is have everyone automatically covered in a public system: rejected. Another way is to tell people they don’t have to sign up for health insurance but they do have to pay into the system.
miley_cyrus
2 hours ago
No that is a huge failure. That is perhaps the biggest failure of Obamacare.
That means I, as someone with healthy lifestyle habits, has to pay largely the same premium as someone who smokes, is obese, and doesn't exercise. And sure enough, life expectancy in the US immediately stalled after the law's implementation: https://www.macrotrends.net/global-metrics/countries/usa/uni.... Exactly what economics would predict would happen.
orionsbelt
2 hours ago
And what if you, despite being healthy, get diagnosed with cancer right one your employer fails, thus becoming uninsurable? This type of thing happened to people.
It’s nice the above can no longer happen. You could, at the same time, still allow insurers to charge a premium to smokers and obese and for other lifestyle risks within one’s control. They are not mutually exclusive.
JuniperMesos
12 minutes ago
The entire system of linking health insurance to one's current employer is bad. I should just be able to buy it with money I earn from doing anything that pays me, just like I do with my car insurance or any other type of insurance.
ZuLuuuuuu
2 hours ago
That decline is mostly because of Covid pandemic, no? And it looks like the life expectancy picked back up after 2022.
Similar laws existed in EU countries long before US, and EU countries also saw a decline in life expectancy during those years: https://www.macrotrends.net/global-metrics/countries/deu/ger...
pdntspa
2 hours ago
I remember being denied coverage after aging out of my parent's healthcare plan. The cited reason was "pre-existing conditions", which were allergies and a congenital cleft lip and palate (I had a number of corrective procedures as a kid). I was a healthy and relatively normal young adult.
Life expectancy flatlining could be any number of things. Correlation != causation
d1sxeyes
2 hours ago
US policies wouldn’t affect the life expectancy in the UK, which has broadly the same trend: https://www.macrotrends.net/global-metrics/countries/gbr/uni...
This is despite no-one paying (directly) for health care.
Would you be willing to submit to invasive investigations into how you live to identify any risk factors you have (both under your control, like choosing to drive, international travel, and not under your control, like genetic predisposition to heart disease) to ensure your premium can be accurately calculated?
Blaming people for their illnesses is something we have historically gotten wrong a lot, and regardless, it’s pretty inhuman as a society to leave people to suffer and die because they can’t afford healthcare.
tartoran
2 hours ago
How about if that is diabetes, or something else that does not depend on lifestyle choices?
abenga
an hour ago
That's the point of insurance.
idiotsecant
2 hours ago
Look at this Ubermensch that will never have a stroke, develop cancer, or any number of debilitating conditions. Must be nice!
It is the basic duty of every human to do their best to make sure every other living human is afforded a life of simple human dignity. Full stop. We have the resources. Let's just do it.
thereitgoes456
an hour ago
Sadly we do not have, and will never have, the resources to help everyone, even to a baseline of human dignity. Surely we can't give people unlimited talk therapy, MRIs, and cancer treatment for free. But some people sorely need these things.
Preventative/propylactic care is orders of magnitude cheaper than treatment once a disease has manifested. It makes sense to me to punish people for not doing this care, thereby choosing to impose more strain on an already overburdened system.
Note that GP only mentioned things we have control over -- exercise, weight, not smoking. Of course I agree that it would be cruel to disadvantage pre-existing conditions.
johnnyanmac
28 minutes ago
That's the point of insurance. It's the idea that everyone pools together money and when something bad happens to one person, its finances are mitigated by the input of others. Some will benefit more and others benefit not at all. But no one can predict who is on what end.
Yes, if everyone gets cancer at the same time then Health Care is boned. But then again, so is society. So why worry about that worst case scenario?
>Note that GP only mentioned things we have control over -- exercise, weight, not smoking.
We couldn't pass laws to help control what companies put in food, and failed to subsidize healthier food options. I wish you the best of luck with healthcare trying to pull off that endeavor with punishments for obesity. I'm guessing it wouldn't be poolitically popular.
idiotsecant
10 minutes ago
Since when do we not have the resources? Nearly every developed country on earth manages it ok.
lovich
2 hours ago
> That means I, as someone with healthy lifestyle habits, has to pay largely the same premium as someone who smokes, is obese, and doesn't exercise.
Do you live a healthier lifestyle than every single other person in your insurance plan or are you just a hypocrite who’s decided the line is acceptable when it includes you, but not one inch beyond that?
grahar64
2 hours ago
Yes, everyone on insurance should be young and healthy. Fuck those sick people /s
victor106
2 hours ago
I heard this somewhere and its true of every politician:
you campaign in poetry and govern in prose.
ACA is NOT a failure. It did address some really critical pain points but left others. There is no bill that can address every single pain point in a system that is as complex as the US healthcare.
johnnyanmac
40 minutes ago
>ACA is a failure and the only thing it did was make it mandatory and unaffordable at the same time.
Compared to what? Is it really better to just be uninsured and go bankrupt over an ambulance ride?
This point alone makes your entire post suspect, even though parts of it are indeed true (it's a real shame guantanomo was not closed down).
JumpCrisscross
2 hours ago
> Obama was hated by San Franciscan progressives because
Because San Francisco progressivism doesn’t win on a national stage.
Eisenstein
2 hours ago
Times are changing. The pendulum swing back from MAGA is going to be interesting.
ithkuil
25 minutes ago
Hopefully we don't add too much energy to the pendulum because eventually it will swing back again
JumpCrisscross
32 minutes ago
> Times are changing. The pendulum swing back from MAGA is going to be interesting
The pendelum swings in multiple dimensions. MAGA went mainstream in a way the Tea Party and conservativism did not by abandoning policy purity in favour of, first, messaging, and later, idolatry.
The preserved component between MAGA's messaging and Mamdani's rise is populism and, to a lesser degree, divisive politics. Where MAGA failed and Mamdani may deliver is in pragmatism (and not being corrupt).
There is an opportunity to unify "abundance" policies with inclusive progressivism or villanisation of wealth. (I'm not convinced you can do both. If you want to pursue growth and cost of living, you need to turn the capital spigots. Accumulated capital facilitates that. If you want to tackle inequality and billionaires, you'll need to temporarily destabilise those capital structures. You'll also, presumably, be increasing the lower and middle classes' purchasing power, which limits how much public spending you can do without spiking inflation.)
San Francisco progressives can influence national politics. But anyone insisting on copy-paste purism is a godsend to MAGA.
troupo
an hour ago
> ACA is a failure and the only thing it did was make it mandatory and unaffordable at the same time
Isn't it because Republicans spent a busy decade destroying it?
nialv7
5 hours ago
I kinda feel Obama is more of a Trojan horse. It was not he tried and failed to get what he campaigned for implemented, it was more like he did a U turn after he got elected. e.g. he called for universal health care but once he was elected he started saying it was "too radical".
I hope the same doesn't happen with Zohran. If he was going to fail after all, I wish that will at least be after he had fought as hard as he can.
JumpCrisscross
5 hours ago
> he called for universal health care but once he was elected he started saying it was "too radical"
ACA was the most radical package that could have passed, and it still cost Democrats the Congress.
This line of argument reminds of the folks who complained about Sinema and Manchin. You know what we’d have with a few more Sinemas and Manchins in the party right now? A majority.
The bill that passes is better than the ideal that doesn’t.
dralley
4 hours ago
Manchin and Sinema shouldn't be mentioned together in the same sentence.
Manchin was genuinely the best Democrats could hope for from West Virginia. Sinema was absolutely not the best Democrats could hope for from Arizona. Manchin was also, while not perfect, more honest in much of his opposition than Sinema was, and sometimes he was actually right.
JumpCrisscross
4 hours ago
> Manchun was genuinely the best Democrats could hope for from West Virginia. Sinema was absolutely not the best Democrats could hope for from Arizona
Sure. My point is both are preferable to a MAGA enabler. If you lose perspective and start aiming for perfection at the expense of the good enough, you lose power.
Eisenstein
2 hours ago
Maybe, maybe not. The problem with being fine not 'losing power' but without actually doing anything that your constituents need while facing an uncompromising opposition that is trying to destroy the way of life of your constituents is that you end up losing most of the battles while losing any active support. When people only vote for you because they are afraid of the opposition and not because they think you are going to help them, then your motivations are not in line with the people who voted for you, especially if you can't even provide an effective resistance against the opposition when they blatantly do illegal things.
At least with a MAGA enabler things can get bad enough that people might realize what they have to lose.
svara
an hour ago
In a country as conservative as yours, if you're culturally in line with the 'coastal elites' (forgive my use of this term), you can't expect a stable majority by being uncompromising.
duped
4 hours ago
Manchin was a stooge who voted how he was paid. He doesn't get a pass for not being as clear a traitor as Sinema.
jychang
4 hours ago
He voted how his electorate would have wanted him to vote. He probably also hoodwinked some rich people to pay him some bucks while he was at it.
He's about as "shades of gray" as a politician gets.
SkyPuncher
3 hours ago
That was always my impression of him. It was easy to feel like he was breaking ranks, but realistically he seemed to vote exactly how his electorate wanted him to.
dralley
3 hours ago
He voted in line with Democrats when it mattered, but was enough of a visible pain in the ass to satisfy his constituents.
_fizz_buzz_
2 hours ago
Without Manchin the Inflation Reduction Act would not have passed. Arguably Biden‘s biggest accomplishment.
somenameforme
3 hours ago
I think people had rose colored glasses about Obama because he was, by far, the most charismatic President we've had in modern times. His speeches still give me goose bumps, even when I disagree with what he's saying! That man has the gift of gab. Him also being intelligent further, sadly, makes him an outlier in modern times.
But many of the things he did were dubious and ACA is a perfect example of this. It's little more than an subsidy for private insurance companies whose profits dramatically increased relatively shortly after adapting to it. Universal healthcare doesn't have to be adversarial towards private insurance, but it should not directly drive increases in profits because, especially once its mandated + subsidized, profits need to be controlled as the government is effectively guaranteeing them.
Medical loss ratios (insurers must pay a minimum percent of premium revenue on medical costs) are obviously insufficient since they do nothing to motivate lower costs. On the contrary, it directly incentivizes maximizing costs which is exactly what's happened. For one specific datum medicare administrative costs are around 2% - private insurance administrative costs start around 12%.
---
Basically there is no way this was even remotely close to the most socially motivated (I don't see radical as a desirable adjective) package he could get have gotten passed. And now with the country so divided, it's unlikely we'll be getting anything better anytime in the foreseeable future, because whichever side tries to pass it will simply be opposed by the other, regardless of merit. Hopefully Mamdani isn't a complete failure, because more parties in power is perhaps one way to break the divides in society.
macNchz
2 hours ago
The ACA was, I believe, a highly intentional better-done-than-perfect effort, fully cognizant of the historical cycles of political will around major healthcare policy in America. If you review in depth the efforts in the 90s under Clinton, and earlier under Johnson, I think the approach was well considered. A more ambitious policy proposal ending in failure very well may have have put the topic to bed for another twenty years. The loss of the “public option” did sting, though.
TheCoelacanth
21 minutes ago
Yes, and many states blocking the Medicaid expansion also hurt it.
JumpCrisscross
2 hours ago
> there is no way this was even remotely close to the most socially motivated (I don't see radical as a desirable adjective) package he could get have gotten passed
What are you basing this on? Again, Pelosi lost her House because of ACA. Republicans shut down the government multiple times trying to repeal it. They narrowly missed, but because the compromise was powerful. Had Pelosi and Obama pushed harder on ACA, chances are high it would have never passed.
I’m not saying it was perfectly calibrated. But the problems you’re mentioning would have meant battling entire new categories of powerful interest groups. That's what, in part, sank HillaryCare.
mmooss
2 hours ago
> Obama ... was, by far, the most charismatic President we've had in modern times
Watching old Obama speeches, I find him mostly run-of-the-mill. Trump, whether or not you like him, is far more charismatic - his success is built on his charisma. Also, look up Bill Clinton or Ronald Reagan speeches, by maybe that isn't what you mean by 'modern times'.
abenga
an hour ago
> his success is built on his charisma.
Print out one of his speeches and read them. His success is built on backlash against the shock of seeing a black president.
BrenBarn
3 hours ago
With 20/20 hindsight I'd say that's the wrong lesson. The actual lesson is that if you're struggling to get 40% of the legislature to make obvious improvements to your country, you should use your majority for even more radical things. If they'd used that same majority to pack the supreme court, pass a nationwide anti-gerrymandering law, break up hundreds of large corporations, and so on, we might have averted a ton of disaster. At the time perhaps it was hard to see, but in retrospect what we saw in the period 2008-2010 were early warning signs of how the flaws in our system of government were going to send us on a downward spiral.
whoooboyy
an hour ago
It wasn't hard to see at the time. People just thought the West Wing was how politics should work. That somehow all the players come to play good, fair ball. Many of us were out here caucusing against Obama and Gore and Biden because they represented an obvious losing strategy in the long term.
marricks
4 hours ago
> ACA was the most radical package that could have passed, and it still cost Democrats the Congress.
People aren’t excited by half measures that let health insurance companies generate tons of money and CONTINUOUSLY raise premiums. People still go bankrupt receiving cancer care here.
The person who gets free healthcare and cuts overall costs by destroying health insurance middle man will be massively popular and, once the effects are borne out, win congress in a landslide.
Perhaps Obama couldn't have made it happen, but he didn't try. He could have made a speech about "how we will do because not because it's easy, but because it's possible because every other western nation has this same basic thing." But here we are with a crappy compromise.
EgregiousCube
2 hours ago
“It works in Europe” isn’t a very good American political rallying cry though; Americans generally don’t have the opinion that Europe works very well.
mdhb
2 hours ago
Only because American discourse and thinking is so utterly poisoned by the absolute bullshit that is “American exceptionalism”.
In terms of almost any possible quality of life metric you can think of Europe is ahead of the US.
That combined with just a breathtaking level of ignorance of what Europe is actually like in any meaningful sense. You saw this a lot in this NYC election where they were trying to paint Mamdani as an actual communist because well over half of the country has no idea what “democratic socialism” means let alone communism.
sillyfluke
an hour ago
Yeah, but this only strengthens the parents point that "It works in europe" is not a good rallying cry in the states. It's also too easy for opponents to counter and point to random europeans who complain about their own system and win cheap debate points on that front. It might be better to just lean into the exceptionalism and say, "We're America, we're richer, we can make a better system." Or something along those lines.
throwaway91530
an hour ago
> In terms of almost any possible quality of life metric you can think of Europe is ahead of the US.
Laughable statement, considering Europeans give a leg and a arm to live in America.
olelele
an hour ago
Except the McMansions and that every family has at least 3 cars…
macNchz
2 hours ago
> once the effects are borne out, win congress in a landslide.
There is a deep, foundational information problem that would need to be overcome for this to ever actually happen. Medicare, for example, is viewed incredibly favorably, but tons of people don’t even know it’s a government program! This survey found only 58% of people over 65 recognized that: https://www.nerdwallet.com/article/insurance/medicare/medica...
We are in an information twilight zone where perception of policy outcomes is basically entirely dependent on choice of news sources.
toast0
2 hours ago
The solution is simple. Expand Medicare. But you need to do it slowly or it will implode.
For ten years, every year, drop the eligibility age by 1 year. Then for the next ten years, every year, drop the eligibility age by 2 years. Maybe keep going at 2 years every year from there, but it should probably be adjusted over time as the effects of rising enrollment show the acheivable enrollment rate.
In the meantime, start covering all kids with Medicaid from birth to X, adding 6 months every year for the first 10 years, then 1 year per year until it overlaps with most people getting enough social security credits to be eligible for Medicare. At that point, you can probably just make Medicaid available for everyone, if you don't have 40 social security credits by age 35, you probably qualify for Medicaid under current rules. Again, it'd be helpful for Congress to supervise and adjust as needed.
arcticbull
an hour ago
A lot of Americans don't even realize that Obamacare and the ACA are the same thing -- even in 2017 it was 1/3. I believe the skew is even worse today.
https://www.nytimes.com/2017/02/07/upshot/one-third-dont-kno...
troupo
an hour ago
> Perhaps Obama couldn't have made it happen, but he didn't try.
They barely passed ACA after over a year of negotiating with the Republicans and removing lots off provisions from it. How do you expect someone to just come along and pass an even more radical reform?
mmooss
2 hours ago
> ACA was the most radical package that could have passed
And they only passed it by bypassing the fillibuster and using the budget reconciliation process.
But arguably, if they were more aggressive and offered bigger benefits, they'd get more support. The GOP has been extremely aggressive, generally. People don't vote for those hesitant and afraid of conflict.
> You know what we’d have with a few more Sinemas and Manchins in the party right now? A majority.
True, and it's also true if the Dems had a few more Sanderses and Warrens - and then they'd have a solid majority rather than one that caved like Manchin. But they'd need a bunch more to pass a healthcare bill without reconciliation.
rtpg
3 hours ago
I do think it's worth considering that FDR got elected for 4 terms (granted, congressional control went through various flows).
The push for the ideal might have locked in something generational. Maybe.
Ericson2314
4 hours ago
> ACA was the most radical package that could have passed, and it still cost Democrats the Congress.
Bad casual reasoning. There is so little evidence that voters care about policies years before they go into effect.
CamperBob2
3 hours ago
Fox News made damned sure the voters cared.
pantulis
an hour ago
> The bill that passes is better than the ideal that doesn’t.
This is the essence of politics.
jgoodhcg
4 hours ago
No. I think an honest attempt at doing something "radical" economically for the working class can cross the divides we have.
BrenBarn
3 hours ago
I think there's an argument to be made that many of the allegedly "radical" Democratic policies fall into an uncanny valley of wonkiness, where they're enough of a reach to get people riled up emotionally but not enough to have the kind of punchy, obvious benefits that would get people to be supporting on a similarly gut-level basis. Arguments about whether the minimum wage should be $X or $X+2 seem like accounting tournaments. There's no appetite for saying stuff like "we will seize $100 billion from the wealthiest individuals and give it to everyone else as cash payments".
The other problem is that the Democrats don't seem to realize that incremental change doesn't really work when the system of government is messed up like it is. Every little small-ball policy the Dems try to push through can just be undone later by administrative gimmicks as long as we have the level of ambiguity we do about executive power. Beyond that, they can be rolled back by countervailing legislation because the Republicans are focused on gaming the system. "Substantive" radical policies like universal healthcare are unlikely to be achievable without first enacting "procedural" radical policies like anti-gerrymandering rules or abolishing the senate.
kingofmen
2 hours ago
> There's no appetite for saying stuff like "we will seize $100 billion from the wealthiest individuals and give it to everyone else as cash payments".
Indeed. Because anyone who is numerate enough to do the division quickly realizes that this works out to about $300 per person, and stops being excited about the Wowie Big Number.
BrenBarn
an hour ago
Still better.
Aunche
3 hours ago
Radically changing healthcare works out great in people's heads, but then they immediately whine about their Ozempic no longer being covered like in socialized healthcare countries which don't use expensive cutting edge drugs as a first resort. No matter how competent the government is, which ours isn't, any radical change (besides just throwing more money at the problem) will make things worse before they are better and voters are the most fickle bunch there is.
edmundsauto
3 hours ago
Semaglutide isn’t exactly cutting edge, it’s 16 years since it was invented. GLP-1 drugs go back to the 90s. They are undeniably trendy but it’s odd to consider them cutting edge.
Expensive, yes.
Aunche
3 hours ago
Semaglutide was approved in 2017. By cutting edge, I suppose I mean covered by patent. Luckily for Canada, Novo Nordisk forgot to pay their for its renewal.
I was just pointing to an example of why healthcare reform is politically difficult. One relevant to the ACA was ending discrimination based on preexisting conditions, which caused a majority of people's premiums to go up to subsidize those who are chronically ill. Morally, most people agree it's the right thing to do, but it was politically disastrous since one person gets one vote.
monocasa
4 hours ago
The ACA was essentially the Republican plan for healthcare reform. They just went scorched earth on it because they were pissy that he got the credit for their plan. That's also why they haven't been able to come up with a coherent replacement.
Obama had a plan early on to be inspired by Lincoln's cabinet of rivals and to try to unite the parties. Because of that he didn't push nearly as hard on the right wing of his party early on like Lieberman, who were the holdouts who pushed for the lack of a public option to have true universal healthcare.
WillPostForFood
3 hours ago
Republicans in Congress never wanted or proposed anything like ACA. It is weird half truth because Massachusetts, one the more liberal states, with Democratic supermajorities in both houses, passed something similar while Mitt Romney was Governor. It was the brainchild of Jonathan Gruber, MIT Economist and Democratic consultant who worked on the ACA for Obama. You can go back and read the GOP platforms of the time, there is nothing like the ACA proposed.
monocasa
3 hours ago
The 1993 HEART Act was very much like the ACA, built around the individual mandate to purchase private health insurance, primarily through your employer. Romneycare was massaged out of this.
https://en.wikipedia.org/wiki/Health_Equity_and_Access_Refor...
This was the Republican alternative to the time's Hillarycare proposal, and was authored by the Heritage Foundation of Project 2025 fame.
WillPostForFood
27 minutes ago
Good point! But HEART was just a tactical response to the Clinton plan. Never a part of the party platform, not something candidates ran on, and it disappeared as support for the Clinton plan died. When Republicans won the presidency back in 2000, and held the house, and briefly the Senate, they didn't make any attempt to bring back HEART. It was never the Republican plan for health care. It is also somewhat of a mischaracterization to call it a mandate for health insurance, it was much more narrowly focused covering catastrophic events.
Some side notes. It was introduced by Lincoln Chafee, who then switched to the democratic party. Heritage itself disowned it. The author later wrote, "I headed Heritage's health work for 30 years, and make no mistake: Heritage and I actively oppose the individual mandate, including in an amicus brief filed in the 11th Circuit Court of Appeals to the Supreme Court." There was also never any intent to have a punitive mandate, just a tax credit would be lost if for people who didn't buy insurance - more carrot than stick.
nwienert
3 hours ago
From what I understand, the HEART act wasn't really backed by Republicans, it had only 20 or so R's on it and was actually more of a ploy to prevent other more substantive bills from passing. It was designed to obstruct not to pass, later Dole supported a more restricted bill and HEART was never even debated. The vast majority of R's didn't support it, it was basically a political maneuver.
monocasa
an hour ago
It was straight up co-sponsored by very nearly a majority of Senate Republicans (18 out of 42 at the time). It's hard to say a "vast majority of R's didn't support it". Though recently Republicans have been trying to distance themselves from it because it doesn't make their reaction to the ACA look great. There's a lot of rewriting of history.
Yes it didn't get debated, but the formal debate stage of a bill is pretty late in the process these days. It's been theater at best for at least a century. The actual debating happens at the stage the HEART Act got to.
It got dropped because the Republicans won congress in the midterms and didn't actually want to change anything about health care; the HEART act was just what they came up with as a proposal if they were to be forced.
WillPostForFood
21 minutes ago
It got dropped because the Republicans won congress in the midterms and didn't actually want to change anything about health care;
Right? So Republicans did not support it, or want it. It was just part of the Clinton Plan politics and negotiation. When Clinton failed, HEART totally disappeared.
recently Republicans have been trying to distance themselves from it
Of the 18 Republicans who co-sponsored it, none are still in politics, 14 of the 18 are now dead. Republicans today have literally nothing to do with it. It is getting silly to say a Republican today has any connection or responsibility for this proposal that never even came close to a vote, and not one current Republican has any connection to.
parineum
4 hours ago
> The bill that passes is better than the ideal that doesn’t.
For your resume, sure.
Sometimes reform only works when you fully commit and if half the country isn't on board, it's not better to pass some mutilated and watered down version.
threatofrain
4 hours ago
No, losing ACA matters. It's a good program that's helping people afford or qualify for life insurance. I was able to get insurance because of it.
beedeebeedee
4 hours ago
Yes, but it does not provide health care, it provides a subsidy to the health insurance companies (I.e., throwing even more money at lucrative companies that profit by denying coverage). It is sad that it is the best our government can do for us.
kelnos
3 hours ago
It is sad, agreed, but having the ACA is better than not having it.
roenxi
an hour ago
That seems like a difficult one to provide evidence for. A major problem in the US seems to be that they've got this impenetrable thicket of legislation around healthcare, insurance and employment that makes it impossible for people to make rational decisions.
Just not having that legislation, letting employment & insurance decouple and a sane market for healthcare develop might easily be better than the ACA.
threatofrain
6 minutes ago
I honestly don't understand why good healthcare should develop under free rational conditions. Why shouldn't a hospital charge your everything while you are in critical condition? I mean, it's a voluntary deal, take it or leave it, right?
kelnos
42 minutes ago
> Just not having that legislation, letting employment & insurance decouple and a sane market for healthcare develop might easily be better than the ACA.
Maybe? But what is the mechanism by which employment gets decoupled from health insurance? That would require a different law, I suppose?
But that wasn't what I suggested: I said having the ACA is better than not having it, not that having the ACA is better than other possible alternative laws. I can think of quite a lot of alternative healthcare reform laws that would be significantly better than the ACA.
And I think it's reasonably safe to say that in "ACA vs. nothing else", ACA wins, if we judge by the millions of people who will lose healthcare coverage if the ACA were to be repealed and not replaced with anything new.
parineum
3 hours ago
I'm not really arguing against the ACA in particular, just the general sentiment.
I do, however, think the passage and defense of the ACA has completely stopped any kind of healthcare reform movements from Democrats and completely turned Republicans against the idea.
kelnos
3 hours ago
The ACA was more or less the GOP's healthcare reform plan[0]. They fought so hard against it because they didn't want the Democrats to get credit for it. The ongoing animosity toward it from Republicans is ridiculous, and Democrats are even further from being able to pass any more healthcare reforms than they were when the ACA was passed. The all-too-brief excitement for Medicare For All is somewhat emblematic of that.
[0] To be fair, it did go further than previous GOP proposals. They did include individual/employer mandates and a marketplace, but not stuff like the Medicaid expansion and higher taxes on high earners to help pay for it.
miley_cyrus
3 hours ago
That's outrageously false: every Republican voted against ACA, and Republicans for years campaigned on trying to overturn it.
kelnos
an hour ago
That's... not arguing against anything I said?
Maybe I wasn't clear. Let me try again. Many of the policies behind the ACA had long been championed by Republicans, or even originated in conservative circles. For example:
1. The individual mandate was something the Heritage Foundation (a conservative think tank) originally came up with back in the 80s, and was presented as an alternative to Clinton's healthcare plans in the 90s.
2. The state-based exchange system was something already present in some red states like Utah, and the concept is very similar to Republican proposals (again) back in the 90s. (This shouldn't be surprising: conservatives tend to prefer that states administer programs like these. Not a criticism; just noting a tendency.)
3. Much of the ACA's framework is similar to Republican Governor Mitt Romney's healthcare reform in Massachusetts from 2006.
Sure, there are parts of the ACA that Republicans genuinely didn't support (e.g. Medicaid expansion, high-income-earner tax increases, requiring insurers to cover contraception). But big, fundamental parts of it were similar to or exactly like conservative healthcare reform plans that had been proposed over the past couple decades.
The only reason I can see to explain why Republicans so vehemently fought and voted against the ACA (and have subsequently repeatedly tried -- and failed -- to repeal it) is because they didn't want Democrats to get credit for enacting it, and once it became "blue policy", it was automatically capital-B Bad to them.
It's also telling that Republicans have failed so miserably at repealing it (though they have done it damage). That's because they have no alternative... because the ACA is more or less what they wanted in the first place.
arcticbull
an hour ago
Yep, it's basically a federal version of Romneycare. [1]
[1] https://cdn.americanprogress.org/wp-content/uploads/issues/2...
Actually come to think of it a very similar pole reversal happened in Canada with the "Trudeau/Liberal Carbon Tax" -- a program originally proposed by the British Columbia Conservative Party, first implemented in Alberta by a Conservative Party and proposed federally by Stephen Harper of the Federal Conservatives.
kelnos
an hour ago
Yup, that's a huge reason why I think all of this is just petty bullshit from the GOP. Granted, even though Romney is a Republican, that doesn't mean that every other Republican has to agree with him.
While Romney has said a lot of mixed stuff over the years about the ACA, starting with pledging to repeal it during his 2012 presidential campaign, his more recent rhetoric has softened by orders of magnitude, voting against some of the repeal efforts, voting in favor of some modifications, expressing the need for a replacement plan before repealing it, and acknowledging that repealing it would cause millions of people to lose coverage. I don't agree with his position overall, but I think he's been a fairly "reasonable Republican" about it, including his belief that this sort of legislation belongs at the state level and not the federal level.
But there are plenty of Republicans in the House and Senate (more in the House, I suppose) that just seem rabidly, irrationally anti-ACA. Even while chanting "repeal and replace", they seem to forget the "replace" part of it.
Republican voters seem irrational as well: while opposition to it has softened since the Obama years, it's still pretty high (~70% or so), but you get weird effects. Like if you refer to it as "the ACA" instead of "Obamacare", Republicans don't hate it as much. Or if you don't mention "Obamacare"/"ACA" at all, and instead take a bunch of parts of the law and ask if they support them individually (like "do you support requiring coverage for pre-existing conditions?"), you see less opposition, and even see a majority of Republican voters supporting some of its provisions.
johnnyanmac
21 minutes ago
>and if half the country isn't on board
By that logic, we can never pass anything, ever. And that more or less is represented with congredd Grdidlock for the past 20 years. Is that a better outcome?
I see it as Sprint vs. Waterfall. Except Waterfall takes 8-10 years in policy to do and no one is in office long enough to finish the task. So we gotta pass in a lot of smaller tickets until we get there.
JumpCrisscross
4 hours ago
> For your resume, sure
No, for everyone. Some voters like politicians who pass zero legislation while holding firm to their values. Occasionally they get rewarded. Most often, they’re branded–correctly–ineffective. (And, I’d argue, unfit to lead. If you’re using millions of Americans as human shields to pass an ideologically-pure package, that’s immoral and belongs with Twitter celebrities, not leaders.)
parineum
4 hours ago
You didn't mention the effectiveness or positive effects of the hypothetically passed legislation at all.
You're arguing that it's good for a politician's resume.
squeaky-clean
4 hours ago
This attitude is why Trump is president. Yeah we have a terrible leader, but we could have had a mediocre leader and I guess that is somehow worse in people's minds.
parineum
3 hours ago
That doesn't track at all. I'm talking about legislation and, hence, legislatures.
renewiltord
2 hours ago
You are right in a deep way (as you often are on this site). Wins Against Replacement isn't something most people can comprehend. If you look at baseball, you'll see that a lot of what they're doing with what they think is advanced moneyball would seem like normal statistical techniques to anyone. But then you realize that what is trivial in an HFT firm is kind of black magic to anyone else. Even WAR is beyond the comprehension of the average person.
The average person wants someone who "totally dunked on the other guy, dude" and then loses the election but "never sold out, man". Part of the wisdom of supporting Rosa Parks and not just the first Black woman who was in that position is about being good at winning so your cause advances.
Our lives in America are so good that winning or advancing your cause doesn't really move the needle as much as "making a stand, dude" is. Given that life is really good and change isn't immediately to acute suffering, almost all politics for the average person is about posturing and signaling.
From closer to home, people are annoyed in San Francisco that the state speed camera laws are not permanent and the fines are not humongous for someone going 100 mph over the limit. Most people fantasize about things happening as God placing down edict from upon high, rather than the thing that can happen on the political frontier.
Der_Einzige
3 hours ago
This line of thinking died the moment that the parties began another realignment with 2024. We are in the beginnings of the 7th party system.
Curtis Sliwa was significantly to the left of both Eric Adams and Cuomo on a whole host of issues, which is one of the many reasons why Trump refused to endorse Silwa (they hate each other). If we didn't have a Sinema or Manchin, we might have liberal republicans like a Silwa who would be objectively better if you're a liberal.
jrm4
3 hours ago
I genuinely can't believe, still, that I have to spell this out for people.
Obama did not do a U-turn. It is the worst naivete to think that what happened was "he had big ideas and he changed his mind." He had to bring up big ideas to get elected, and then he got elected the first Black president and some of you seem entirely too dense to actually grasp what that means. President. Not King.
Subject to all of those checks and balances you hear about and then some.
You people act as if he could wave a wand and just sweep away everyone and everything who was against his big ideas, when the opposite was at play.
Please, grow a better sense of politics.
ComplexSystems
3 hours ago
There are plenty of instances in which Obama, despite campaigning on a platform of change from Bush-era policies, continued or even furthered those policies. A good example which is relevant here involves government surveillance:
https://en.wikipedia.org/wiki/Barack_Obama_on_mass_surveilla...
Snowden has also spoken about this at length, saying he expected a change when Obama was elected due to his campaigning against the PATRIOT Act, but there was no change. This is only one of many policies in which Obama changed his stance after he became President.
blackqueeriroh
an hour ago
You still don’t understand what it means to be the first BLACK President, do you? In terms of how everyone, including your own party, will treat you as though they can do what they want and you’ll get on board.
How you’ll have people who couldn’t think their way out of a paper bag certain they could do better than you.
You really do not understand.
yesbut
3 hours ago
Consider the framing today: "Trump is doing all these terrible things, making all of these drastic changes, exploiting the system to his will."
The Dems can no longer use the excuse that the president is handcuffed. Trump 2.0 is showing us what the president can do. The dems consistently use that excuse to prevent popular policies from being enacted. Obama even had a ~6mo super majority where he could have codified abortion rights. But instead they keep it around as an outstanding issue because it is a good fundraising issue.
whateveracct
3 hours ago
I don't want my President to act like a dictator even if they're on "my side." Some things are more important than policy.
Obama understood this and respected the office. Trump took a fat dump on the office and I'm not sure if our country's values will ever recover from this race to the bottom.
bigstrat2003
43 minutes ago
> Obama understood this and respected the office
At a bare minimum, he signed into law the NDAA of 2012, which authorized the government to ignore people's civil liberties in cases where they were suspected of terrorism. On that basis I do not personally agree that he respected the office.
omnimus
39 minutes ago
This is apologetic liberal tactic to keep the status quo. US president is still the most powerful political position on the planet. They can do stuff you know.
Obama is not some good hearted hero who had his hands tied. He ran on pretty progressive campaign because it polled well and when he came to office he just did what his sponsors wanted - keep status quo.
It was keeping the money in pockets of billionaires and corporations while talking about promise of potential change by the most charismatic president ever.
That's why people don't trust democrats.
johnnyanmac
12 minutes ago
>It was keeping the money in pockets of billionaires and corporations while talking about promise of potential change by the most charismatic president ever.
Are you talking about Obama or Trump?
> US president is still the most powerful political position on the planet. They can do stuff you know.
And this is why people don't trust republicans. They are all "checks and balances" and "Constitution" until the dictatorship they want is upon them.
Biden try to forgive student loans. The courts blocked him. They clearly cannot just "do stuff you know". Not without risk of impeachment for executive overreach.
johnnyanmac
16 minutes ago
>Trump 2.0 is showing us what the president can do.
If a Democrat did any of the hundreds of actions performed this year, they'd be blocked by the SCOTUS, and then impeached by the House because they ignored the SCOTUS. And probably Convicted by Senate.
A democrat has not been able to do something as bold as blasting through the courts since FDR (and for that time, the term "democrat" may not even be the correct word to use), and that was under a depression with very popular support from the people. Imagine if congress flipped and fought as hard against SS as they did against the ACA. The Silent and Boomer generations would be in shambles decades later.
jrm4
3 hours ago
It is astoundingly naive to think that the forces in America make it such that "whoever is the president has unlimited power, whether they're an old rich white billionaire or a relatively young black guy on the Dem side."
Again, I implore you all to grow a bit smarter.
wredcoll
2 hours ago
People acting like the supreme court would overturn laws in favor of obama the way they do for trump...
whoooboyy
an hour ago
We'll never know because RBG chose not to retire when Dems could have done anything, and every Dem after that just politely waited for GOP to take advantage of them. It's still happening with folks like Jeffries today being utterly willing to capitulate on policy if it means the institution is respected.
adrr
4 hours ago
There was a government option in the original ACA. Dems couldn’t get the votes to overcome the filibuster in the senate to pass it. It had nothing to do Obama u turning. It was an amazing feat to get it passed in congress and get 60 votes in the senate.
ineptech
3 hours ago
The u-turn came long before that acronym existed, as I remember it. The Dems had been trying to build consensus for some kind of single payer plan for almost twenty years by that point, and practically the first thing Obama said after being elected was that as a show of good faith he would take single payer was off the table.
Maybe today the ACA is thought of as progressive, especially in the sense that the right wants it to end and the left doesn't; but in its time I think it was rightly understood as the Democrats caving to a massive transfer from the public to the private sector. I recall the private insurers' stock prices all going up 10-20% that week.
vjvjvjvjghv
4 hours ago
Obama was pretty timid. Especially at the beginning of his presidency he assumed that his fellow democrats like Lieberman and Baucus were rational and wanted the best for the country and not just being pawns for the insurance industry. I bet if he had pounded the table, he would have way more success. Heck, LBJ made senators cry to get things done.
scott_w
3 hours ago
Hindsight is 20/20. I recall Obama later saying he wished he was more radical because he only realised too late that the holdouts to ACA were never going to vote for it. Essentially, they negotiated in bad faith but Obama only realised this after they’d made all the requested changes and still couldn’t get the votes.
Slow_Hand
4 hours ago
The Affordable Care Act wasn't a complete solution - and I don't get the feeling universal health care was necessarily achievable - but it is the reason that I have health care and mental health services today. So I consider it to be a meaningful - if incremental - improvement. I imagine there are quite a few people aside from myself who are happy to have it.
Ericson2314
4 hours ago
There will be lots of pressure to on Zohran to do the same. But hopefully the cautionary tale that is Obama will be learned from.
tartoran
2 hours ago
I feel Obama was trying to appease the Republicans as well, he appointed many of them who back stabbed him shortly after. Maybe he was trying to no be too radical just because he was black and knew how racist a part of America was and it turned out it was right, Trump mainly got elected because "Democrats" put a black person in the White House. In retrospect, yeah, maybe he should have been more radical.
jayd16
3 hours ago
Yeah, can you believe all those progressive bills he vetoed?
...I mean c'mon now. Congress passed what they could and it cost the Dems greatly. Why are we pretending Obama could have gotten more?
Tiktaalik
4 hours ago
Run from the Left, govern from the Right. A pretty classic political electoral strategy of centrist liberals.
potamic
4 hours ago
Why would someone do that? Especially for presidency which is the final stage of their career? They're not beholden to or reliant on anyone no more so shouldn't have to be swayed by any adverse interests.
tsimionescu
2 hours ago
A presidency lasts 8 years of your life, best case scenario. And the presidential salary will not make you rich. So, if your only goal is a good life, you have to use your presidency to get people to make you rich afterwards, which means favors for the wealthy.
esseph
4 hours ago
Reelection
lapcat
4 hours ago
Look at Obama's net worth when he left office and now.
Look at Bill Clinton's net worth when he left office and now.
It wasn't the final stage of their career but only the beginning.
solumunus
3 hours ago
Not too radical to be good and effective, too radical to break through current political constraints. You have to confront the reality of what can actually be achieved within the system you’re working in.
dboreham
4 hours ago
Proper Obamacare wasn't implemented because healthcare industry interests held up legislation until the midterms at which point the Republicans took over congress.
ajross
3 hours ago
> [Obama] called for universal health care but once he was elected he started saying it was "too radical".
He "called for" a bill that would pass (barely, as it required a filibuster-proof majority that will never happen again in our lives), and it did. It's absolutely infuriating to me the extent to which the American electorate fails to understand basic civics. Presidents take all sorts of legislative positions, but they don't run congress and never have.
And so the cycle continues. Presidential candidate says "I thinks Foo is good", electorate takes that as a promise to deliver Foo. Foo fails to appear, electorate gets mad and votes for the other guy promising to deliver Bar.
Never mind that MetaFoo actually passed, Bar is impossible, and the Barite party wants to enact hungarian notation via martial law. Electorate is still pissed off about Foo, somehow.
NewJazz
5 hours ago
Sometimes I think about what we could have had.
js2
5 hours ago
And 15 years before that was Hillarycare (1993):
https://en.wikipedia.org/wiki/Clinton_health_care_plan_of_19...
(Fuck you Bill Kristol.)
There's a long, sad, littered history of attempts at universal care in the US:
https://en.wikipedia.org/wiki/History_of_health_care_reform_...
edbaskerville
4 hours ago
Bill Kristol has come a long way! He would vote for Mamdani...over Cuomo and Sliwa anyway.
https://www.cmcforum.com/post/bill-kristol-says-he-would-vot...
You can hear him discussing it here:
https://www.thebulwark.com/p/bill-kristol-fake-news-on-60-mi...
I'm also reminded of the time Jon Stewart got Bill Kristol to admit that a government-run health care system (the VA) was good:
dfe
4 hours ago
Bill Kristol is the same asshole he always was.
monocasa
4 hours ago
Interestingly, the ACA can trace its roots to the Republican counter proposal to Hillarycare written by the Heritage Foundation of recent Project 2025 fame.
https://en.wikipedia.org/wiki/Health_Equity_and_Access_Refor...
paxys
3 hours ago
>50% of the TV ad spend in the Virginia governor election was on anti-trans ads, so no, don’t hold your breath.
762236
4 hours ago
His policy proposals have been repeatedly disproven throughout recent history. Thank you for your attention in this matter.
vvpan
4 hours ago
What has been dis-proven?
Aunche
4 hours ago
Rent freezes are such a bad idea that Mamdani himself implicitly admits as such by insisting they will be temporary with no justification as to why.
idle_zealot
2 hours ago
No? The policy is to freeze the rent in rent-controlled units for his entire term, which is as long as he can. The long-term solution is of course to build more units.
Ferret7446
2 hours ago
The freeze will have the same effect that rent control has always had, for the past decades in NY and elsewhere: make the situation worse. It being "temporary for his entire term" just means that the negative consequences will be "temporary for his entire term"; is that supposed to be a selling point?
What was the definition of insanity again?
johnnyanmac
6 minutes ago
It will have the same effect it always had if we proceed to do the same thing. i.e. fail to build more affordable housing.
How about this time we actually do it and stop blaming glue for not being a welding mold? Rent controls aren't supposed to be long term. Mamdami realizing that is already a good sign. So I'll see if he can get housing projects off the ground next.
whoooboyy
an hour ago
Worse for who? Better for who? I guarantee you the people who live in the rent control apartments aren't thinking they are worse off from it.
woodpanel
an hour ago
I have some confrontational views about this, but in good faith I’d like to invite some discussion with it (not an American).
TLDR: You will see more Mamdanis in other cities. This is a treasure trove for MAGA. Expect at least 12 years of secure nationwide wins for whoever is championing that platform
> I’m reminided of Obama and his hopeful message
This is the gist of the PR campaign, voters fell for. It goes in line with him getting away with being “grassrootsy” when in fact he got tremendous funding from the typical NGOs (Open Society etc) and is a son of a Professor who was/is basically paid to tell American and African Top 5% why white people are bad.
His win also shows the effect migration has on elections. Immigration inherently is a deal where incumbent residents define the terms, and when the other party returns the favor by electing anti-incumbents into office some incumbents will have profound buyer’s remorse.
Fertile soil for the right.
Mamdani’s success also puts a spotlight on foundational problems of the democrats.
After all Mamdani is charismatic, yes, but more importantly he appealed on the issues. His policies will be abysmally failing to resolve the problems he criticized, yes - but that is unimportant to the voter. Important is that he believably criticized them.
How is it, that these well-established circles of the democrats, these well oiled machines, where in states like CA or NY (or most US cities) mayorships, senatorships, congressional seats, and governorships are basically handed out by the DNC, fail to win on those issues? It’s not like making life affordable is not a core branding of the party.
Well, it appears that the DNC gerrymandered itself to death. The dissolution of political contest from the public into internal primaries has stymied the platform’s vitality to a point where it can be easily hijacked by radicals.
Expect many more Mamdani-esque wins locally. Which will mean many wore wins for MAGA nationally.
treetalker
5 hours ago
It's propitiously on the same day as the announcement that WMD liar, war criminal, torture advocate, and domestic-surveillance mastermind Dick Cheney died.
bdangubic
5 hours ago
Obamacare being what it was is 1,000,000% Obama’s failure - he’ll tell you this same thing over coffee too. Just outmost disaster through and through how it was implemented.
Zohran can easily fund which is why every single GOP Senator and Congresman went publicly against him. Can’t have people get any crazy ideas that they could actually have nice things. WTF does Congresman from a some shithole county in Alabama give a fuck about who Mayor of NYC is? but GOP is a well-oiled machine so it was all-hands-on-deck to prevent these ideas from infecting the nation…
even though this seems like a victory, starting in about 10 minutes the entire GOP message for 2026 is going to be “Zohran is Democratic Party now” and it just might work
cryzinger
5 hours ago
Zohran is the Democratic party now? Thank god, it's about time! :P
doubletwoyou
5 hours ago
got any tips on what to look for on how obama bumbled obamacare? not too familiar on the subject myself
cdf
5 hours ago
Despite his public persona, I read recently Obama is actually quite aloof and didnt have the patience to charm the politicians in person.
Tadpole9181
2 hours ago
Oh, yeah, Obama being aloof was why the white men who questioned his citizenship openly - who are now entirely complicit in or supportive of an unaccountable gestapo randomly kidnapping people from the streets wth no ID or due process based on their skin tone - weren't "charmed" by him.
Dog whistles are supposed to be subtle.
Spooky23
5 hours ago
Obama took a mea culpa on parts of implementation, namely the federal marketplace website (they weren’t expected as many states to opt out of the marketplace) and the “keep your plan” narrative.
It was a compromise law that was in alignment with Bush era mainstream conservatives. The fatal flaw of Obama and Biden is they underestimated the power of the nutcase wing of the Republican Party. (Along with the institutional GOP folks)
bdangubic
4 hours ago
that isn’t the fatal flaw. the fatal flaw is campaigning and staking your entire political career on something and the delivering something sooooo subpar.
the sad thing is, history will remember him as first black President and that’s really about it. and most of us cried watching that speech from lincoln park.
our current president is causing most of us to cry daily but will be remembered as one of the most influential presidents in the history of this country… sad, very sad, but all true
insane_dreamer
3 hours ago
presidents don't pass legislation, and the original Obamacare was too radical even for all the Dem senators, not to mention needing some GOPs to get 60 votes
Maybe, if Obama had been as ruthless as Trump and used blatant lies and targeted attacks on senators to make them so fearful of re-election that they would play along, he might have gotten it passed, though probably not even then. Plus, as much as I wish we'd had the original Obamacare, I'd rather have a watered down version with balance of powers, than a tyrannical president who cowers the legislative branch into submission.