this post was submitted on 23 Mar 2025
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The ACA blows. Here are my issues with it:

  • doesn't go far enough - I would've been better off w/ ACA if my employer didn't offer coverage (small company of <50 people), but switching would've eliminated my employer contribution and the credit
  • goes too far - too opinionated about what care counts

The proper solution IMO would've been to:

  • separate health insurance from employment - employers can offer cash incentives, but you should be able to choose if you want their group coverage or to apply the cash to your own plan
  • simplify healthcare coverage terms - most people don't understand their health coverage, though ACA plans are a bit easier to understand; they should have required all health insurance plans to simplify their coverage
  • expand Medicare/Medicaid instead of creating a new healthcare marketplace

But no, they didn't do any of that. Screw everyone involved. Republicans for neutering the bill, and Democrats for only fighting for the stuff that doesn't matter as much.