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this post was submitted on 22 Apr 2025
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Have they?
Healthcare costs more than ever, insurance companies now have the power to weigh in on your medical decisions, and private practice has become untenable due to the sheer amount of paperwork and negotiation involved in every step.
Obama care was a handout to insurance companies and healthcare systems to pay them off for the intended changes, and they basically compromised away most of the rest of it - all we got was students get a few years more coverage from parents and no denials for pre-existing conditions
The whole plan came from the heritage foundation - the purpose of the affordable care act was to prevent universal healthcare. Like everything else that comes out of that cursed think tank, it's a nice sounding package for something horrible
And gay marriage was just done through the courts, right? It's a tug of war issue - just like planned Parenthood funding and abortion, rather than actually putting in real protections legislatively they keep these rights in constant danger.
Both parties campaign on these issues, and I'm not saying they're not important to the people affected, but they're distractions
This goes against the entire notion of the ratchet effect.
If things got steadily more right wing, this wouldn't need to be a consideration. But, taking your words as accurate, it means that America went from a less progressive healthcare system to a more progressive one, even if it is imperfect.
On gay marriage, it's worth reading about. It.was a fairly complex move that was pushed by the administration pretty hard. And of course there's a bunch of legislation around it and other gay rights now.
How is the affordable care act a more progressive system?
I'm saying that there are two positive aspects, but it directly caused healthcare costs to skyrocket and dropped the quality of healthcare massively. Standards of care are the reason why there's twice as much time spent on paperwork than with patients, and it gave insurance companies so much more power over the entire process
When I say it's meant to block universal healthcare, I don't mean it was a compromise between where we were and universal healthcare - it was wrapped up in a package of "this will fix healthcare using the free market", but it's a much worse system
As far as gay marriage, I'm sure there was plenty to it behind the scenes... But I also remember states passing it left and right beforehand - and here it is under threat again
My point with all of this is that these issues are the ratchet in action - they're such toothless solutions that the issue remains a key problem