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this post was submitted on 22 Apr 2025
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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