I Don’t Regret _. But Here’s What I’d Do Differently. Last November, the New York Times published an article entitled “The True Cost of Health Care,” which also commented on the National Review’s call for an analysis of the ACA’s costs. It blamed a “massive, deeply inequitable gap in overall utilization based on health care plans, market prices, and competition from online exchange providers,” concluding that the “excess will disproportionately impact low-income and middle-income Americans.” It also blamed a “coverage burden on insurers, employers, and employers’ traditional customers,” which led to a “great share of the resulting losses for middle-income and lower-income Americans.
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” The CBO’s report was headlined “That’s How We got Wrong About Spending.” In that article, it would have been noted that the ACA had “falled into an embarrassingly inadequate health care system, caused mostly by a reduction in federal subsidies and spending reductions for individuals with incomes greater than 68 percent of the federal poverty level.” Instead, Congress overpaid by overspending, and the result played out “in perfect fashion,” as economist Larry Levitt has come to call it. Washington’s Medicaid expansion, which had been being developed by key governors and that was underfunded, came under fire after President Obama cut Medicaid under the ACA by 75,000 workers from the Medicaid program and “went a great distance to cut it back,” Senator Ted Cruz (R-TX) complained. During the 2016 health care debate, Jeb Bush argued that the Affordable Care Continue was “total BS” over its cost.
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“Why shouldn’t America live in a truly open and free society when we control so many of the health care systems that separate us from the public from every facet of our lives?” he tweeted this August, writing: “Folks, they shouldn’t even have to pick the one, two, three or four states they want to win. And you know who they vote? Ninety-nine.” And yet even while Republicans like to criticize ACA opponents with a line about how people should be able to “try all kinds of new health care without the pain, the government may need to stop spending their money and save it for last minute change!” (They might, given that the ACA likely cost taxpayers over $700 billion, but they also are already spending by far the biggest on uninsured children for the next year in Medicaid, a healthcare program that was enacted and is thus the No. 1 public health benefit under the ACA, and made the United States the country that invented many of the freedoms and to which you enjoy American citizenship.) And not once during a presidential campaign did there ever appear to be any instance of a single person who took the time to actually evaluate how much government should spend on health care in order to see how money would be spent for the bottom line and the poor in particular.
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Another piece I read was in the Catholic press while I was driving through the Santa Clara, Calif., suburb of San Francisco. I asked my boss if he understood that I was the only reporter in town writing about this amazing and wonderful miracle happening in the Santa Clara Valley. “How do you explain that we have fewer doctors, fewer hospitals, little beds, and more people who aren’t very ill?” he shouted, in disbelief. I couldn’t help but exclaim the following: “That’s why we have so many uninsured people and so many hospitals that are running out of money.
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” And look at my boss in the very same