The Supreme Court upheld (on narrow and clever grounds) the Affordable Care Act. So, for those of us who had our fingers crossed that we could start over, we’re going to have to look to our elected officials for help. To be certain, the health care system in the United States has some problems. Some of those problems are huge and pervasive. The ACA is the epitome of everything that sucks about compromise: nobody gets what they want and you run the risk of the outcome carrying the worst traits of the proposed solutions.
The left wants to fix everything right now. The right wants the federal government to have no part in it.
Neither of those are viable alternatives, and what congress ended up with in the ACA was a deal with the devil. The left sold its soul to the health insurance industry for some short-term gains to coverage levels. In exchange for some platitudes from the health insurance lobby, congress handed them millions of new, mostly healthy customers, a demographic known to health insurers as “free money.”
In typical American fashion, once we agreed there was a problem, we demanded an immediate fix, without regard for the long-term consequences. With a bit of patience, we could have something both better and easier.