07-08-2013, 10:00 PM
michaelb wrote:Actually, no, the complexity would not be necessary.
I only got to #4; the site was too slow and too stupid to click further. Are there going to be implementation issues with the ACA; sure. But it is still the most significant and most important social policy change of the last 50 years or so. So yes it is difficult and yes it will take time.
You can't even possibly imagine the complexity and disruption of implementing single payer nationally, so this is a cake walk compared to that (since that would include repealing Medicare and Medicaid and prohibiting private insurance in some fashion).
Scaling up either of the two existing programs would be a much simpler solution.
Much simpler than Obama's selling out to the Big Insurance..
And much less disruption than ACA. As long as you could realize greater economic system efficiencies, the economic disruption could be quite positive, just like VoIP displacing analog telephony...