It’s not like The Affordable Care Act was my ideal plan for health care. I wanted health care to be separated from employment. I wanted National Health Care (Medicare for everyone). I realized that in a national system we might have to wait longer for elective care and we might lose some access to services. Yet we seem to be losing access to some services anyway. There is a campaign to convince us that too many tests can have negative outcomes in the form of unnecessary biopsies or procedures, besides being expensive and sometimes exposing us to harmful rays or chemicals. We are told we should have fewer mammograms, fewer colonoscopies, fewer ultrasounds, fewer pap smears, fewer CT scans, fewer PSA’s. C’est la vie. We can’t have less expensive health insurance without losing a few services (although someone recently pointed out that even with fewer services costs are still rising). However, private insurers have no motivation without government regulation to insure people with pre-existing conditions or to insure people who can’t afford health insurance.
Anyway, National insurance was not what we got, except, in a way we did get most of what I wanted. We didn’t get to separate health insurance from employment but we did get insurance for those with pre-existing conditions and for the uninsured and young people got to stay on their parent’s insurance until the age of 26. Obama also found a way to leave plenty of room for private insurers which I felt was a real mistake, but which one would think would be seen as a plus by private insurers.
So now Obama and I are waiting with butterflies in our stomachs to see what the Supreme Court will say about The Affordable Care Act. Of course, Obama doesn’t know me and my butterflies can’t comfort him, but maybe it will help him to know there are some of us out here in America who are with him on this.
I would guess there is no such thing as a perfect health care plan for America (or any large nation), still, we will both survive, Obama and I, regardless of what the court has to say, but the repercussions will probably be much greater for Obama in the short run, and much greater for the rest of us in the long run.