The Affordable Care Act is based on one assumption and three corollaries. The assumption is:
There can be no unlimited draw from a limited pool
The three corollaries are:
- Everyone gets into the pool, and everyone has skin in the game.
- Technology will show the best practices, and best practices should be followed.
- Competition is good.
The third corollary was put in by Republicans, whose allies have spent the last six years disproving it in their attempt to tear down the other corollaries and, in the end, destroy the Obamacare system.
Competition is good, but its aim is to win, and the prize for winning is market power, which the rules dictate must then be used on behalf of shareholders. Great in theory, but in practice inherently messy, and as subject to corruption as any government-run system.
Once this election is over we’re going to all face the problems of Obamacare beyond Obama, because we’re all getting older. Americans aren’t doing it as fast as Europeans or Asians, thanks to immigration, but we’re all doing it, each one of us.
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