There is nothing wrong with being enthusiastic, but doesn’t it need to be tempered with a bit of reality or at least be based on actual results. “Incredible success” seems pretty strong for a law that is a long way from proving to be a success both in expanding coverage and managing health care costs. Even the Affordable Care Act’s most ardent supporters (except politicized groups like this one) know the Law will take years to achieve desired goals if it ever does.
Right now Obamacare is held together by hopes and promises and cost shifting among insured individuals, employers, insurance companies and taxpayers. Costs are being managed through tax subsidies, reinsurance, and assorted fees and taxes. The most dramatic aspects of the law affecting insurance are mandates adding to the total cost. Efforts to change the way care is delivered are mainly focused on Medicare and all such efforts are years away from demonstrating effectiveness.
If you like the Law, you see people paying a subsidized premium of $69 a month as successful and you see such coverage extended to eight million out of perhaps forty million without coverage as success. If you don’t like the law, you see costs still rising at three times inflation and you see employers being squeezed by mandates and complex administration. You see employees losing more coverage and paying higher premiums because of the law and most of all you see the very real possibility of a growing unsustainable (without higher taxes, etc) entitlement following the path of Medicare.
But at this point no reasonable person should see “incredible success.”
From the text of an e-mail:
This is an invitation to come celebrate with us at headquarters in Chicago.
On President Obama’s birthday this year, OFA is hosting an open house to mark the incredible success of health care reform. And we’ll unveil the permanent record of the people who made it happen — more than 450,000 names of grassroots organizers who deserve their spot in history.