The ACA was a huge compromise and didn’t really do anything to tackle why American healthcare costs are so high. I can see it being washed away for a plan that is actually better, and that isn’t going back to the way things were before it.

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smileysteve 4 days ago | parent | next [-]

It originally did a substantial number of things to limit cost increases

- the individual mandate - % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses)

But each of those elements were later removed either legislatively or judicially.

	▲	Aunche 4 days ago \| parent \| next [-]
		> % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses) That part stayed in. Note that this actually isn't relevant for most people get their insurance through an employer who self funds their plan. https://www.cms.gov/marketplace/private-health-insurance/med...
	▲	cloverich 4 days ago \| parent \| prev [-]
		Also they removed the requirement to have end of life care discussions ahead of time. Demonized as "death panels" by the right IIRC. Which was ironic given it would surely have saved a ton of money.

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Aurornis 4 days ago | parent | prev [-]

> I can see it being washed away for a plan that is actually better

Looking at today’s administration I can’t see this happening at all. The most likely outcome from this government is to wash it away and bring back all the problems from before without improving anything.

	▲	seanmcdirmid 4 days ago \| parent [-]
		Yes, I don’t expect anything to happen during this administration, but who knows, maybe things will become broken enough later that something will actually happen in my lifetime.