Repealing and starting over will not happen. Don't fool yourself, or others.   After Bill and Hilary's attempt at massive health care reform was derailed as legislation in the 1990s, it took approximately 15 years before anything like that gained any traction. And that is ACA.

Legislatively, the prudent approach would be to attempt to eliminate provisions that are not necessary or that prove unworkable, modify others to make them work better, and add new provisions considered necessary.

The only way that repeal it and start completely over makes any sense is if the entire bill, in the aggregate, is bad — meaning that it contains few, if any, provisions worth keeping.  

Otherwise, those calling for its repeal are doing so for political reasons or for some other self-serving purpose.

    

The problem with this specific legislation is that it does little to improve access as there will still be roughly 30 million uncovered and that this was not a bipartisan approach.  There was absolutely no input from sources outside of the party that drafted the legislation.  And there was no input from the medical community. 

The ACA is a one sided solution drafted by lobbysits, plain and simple.

This is why I want it repealed and replaced with something that will work better.  With bi partisan input and input from the medical community.  Once a doctor quits their practice, they usually don't come back.  Our current doctor shortage with the current access levels is estimated to be lacking by 15,000 doctors.

The ACA will and is causing many doctors to quit their practices.  What good is a system without providers ?  Do we force doctors to practice at gunpoint ?  (Hyperbole)

The problem with this specific legislation is that it does little to improve access as there will still be roughly 30 million uncovered and that this was not a bipartisan approach.  There was absolutely no input from sources outside of the party that drafted the legislation.  And there was no input from the medical community. 

The ACA is a one sided solution drafted by lobbysits, plain and simple.

This is why I want it repealed and replaced with something that will work better.  With bi partisan input and input from the medical community.  Once a doctor quits their practice, they usually don't come back.  Our current doctor shortage with the current access levels is estimated to be lacking by 15,000 doctors.

The ACA will and is causing many doctors to quit their practices.  What good is a system without providers ?  Do we force doctors to practice at gunpoint ?  (Hyperbole)

< good stuff snipped for brevity>

But you also say elsewhere that it was about personal research and persistence and followup in your own care. So you do seem to think that there is room for improvement in our system. We spend an order of magnitude more than the industrialized world average for our health care, yet we barely beat out Mexico for outcomes.  How is it that Norway and Switzerland spend ~30% less on healthcare ( or ~half if you count it as a percentage of GDP), and have better outcomes than we do?  

People aer just getting fed up with an ineffectual system. You say you "Played the game and won", do you recognize that you are in the minority?  Most people don't have access to that kind of care, either through pursuing higher incomes as you mention, or simple luck - they just haven't had the access. Many people never even make it to the place where they have care available. So they played the game that they had and voted in a guy who had universal health care Insurance reform on his agenda. So just as you are somewhat smugly saying "I worked the system and got what I needed", they are responding with "We are working the system to get what we need", they just picked a different system.

I don't think this will fix all our ills. But our current system is pretty broken. I'm one of these small employers you always talk about, and I'm happy with the legislation. There are tax breaks I'll recognize for doing what I need to do for my employees anyway. I'm probably in the minority that thinks a good insurance program is more than just a required employee perk, but I'm not at all concerned this will "kill our economy". I also don't think it will lead to mandatory broccoli consumption and the purchase of a Chevy Volt at gunpoint, so maybe I'm just a hopeless optimist.
 

 Where does the Cleveland Clinic fit into this?

ETA: Obama is killing small businesses with malice and forethought? 

Also, because I can't help it, I have to throw a French story in: My ex-MIL is a breast cancer survivor, twenty+ years now. She's 67 now. She would have been taken care of over there in France no matter what, but because she had four children, she is forever and ever (amen?) covered for any care she will need for her entire life. Meaning, even if she can't pay into the system, the government will still cover her care. However, because she had cancer, she has wellness check-ups on a regular basis. Sure, it's socialist in some ways, but hey, it's allowed her to live to see her ten grandchildren. This is priceless. And I had no qualms about having part of my paycheck go toward the system that allowed her to get the follow-up care she needs and deserves. The same system helped me when I needed it too. 

No, I'm alive because I made a choice to work for less money for an employer that had topflight health care.  My entire treatment was paid for by the private sector, all $2 Million worth.  My employer stood behind me and made every possible accomodation within their scope as a small business (5 people, including the two female owners).

I am alive because of the private sector and a truly small business.  The kind that Obama is killing with malice and fore thought.  Only in the past year have I been on Medicare.  I have made my battle very public, wearing it on my sleeve.  I made it clear as often as possible that I made the choice to work for less money for good healthcare that I hoped I would never need.  I made a choice.  It turns out, I made a real smart choice.  I have made this point over and over again, the one about working for less to get something else.  I recognized the value. 

Many people here got sick of me making that point.  The comeback was that there should be good wages and good health care.  People won't work if the money isn't good enough.  Well I worked for enough to live on and get by, not complaining or whining about how broke I was.  Made a few jokes, but to the best of my reccollection, never complained.  Just complained about those who complained, just as you have above.  I played the game within the given rules and won, so far.  Never asked for anything to change.  Rather, I asked for things not to change.

Had I been on government assistance I more than likely would have died.  I doubt that the gov ernment is going to spend $2 Million on anyone to keep them alive.  Then, now or in the future.

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Go ahead tell me I'm wrong about the government spending that kind of money on anyone.  I would certainly been told I'm not worth it, especially at my age.  A death panel by any other name.

No, I'm alive because I made a choice to work for less money for an employer that had topflight health care.  My entire treatment was paid for by the private sector, all $2 Million worth.  My employer stood behind me and made every possible accomodation within their scope as a small business (5 people, including the two female owners).

I am alive because of the private sector and a truly small business.  The kind that Obama is killing with malice and fore thought.  Only in the past year have I been on Medicare.  I have made my battle very public, wearing it on my sleeve.  I made it clear as often as possible that I made the choice to work for less money for good healthcare that I hoped I would never need.  I made a choice.  It turns out, I made a real smart choice.  I have made this point over and over again, the one about working for less to get something else.  I recognized the value. 

Many people here got sick of me making that point.  The comeback was that there should be good wages and good health care.  People won't work if the money isn't good enough.  Well I worked for enough to live on and get by, not complaining or whining about how broke I was.  Made a few jokes, but to the best of my reccollection, never complained.  Just complained about those who complained, just as you have above.  I played the game within the given rules and won, so far.  Never asked for anything to change.  Rather, I asked for things not to change.

Had I been on government assistance I more than likely would have died.  I doubt that the government is going to spend $2 Million on anyone to keep them alive.  Then, now or in the future.

.
Go ahead tell me I'm wrong about the government spending that kind of money on anyone.  I would certainly been told I'm not worth it, especially at my age.  A death panel by any other name.

I believe that Obama has done his best to start to correct the disparity in health care in this country. I may not benefit, but my children will. 

Oh that !  Yes that was me playing with words.

The Afordable Care Act was just called a TAX by the SCOTUS.  So instead of using the ACA acronym, I just went to the ACTax.  Had I went to calling it the ACT, it would have been really confusing.  So go ahead and search out the ACA which is the real name for Obamacare.

While we are on the subject ... this SCOTUS ruling written by Roberts was so bad, it turns out to be brilliant.

Yes he upheld the ACA, but as a TAX, not a mandate.  Its simply brilliant.  Now it can be repealed in the Senate with only a 51 to 49 vote because it is a tax.  60 votes are no longer required.

Furthermore, it makes one of Obama's biggest promises, his biggest lie.  He promised that he would never raise taxes on those who made less than 250k.  This is gonna be his read my lips moment.  Everything Obama said while railing this down our throat was that the ACA was not a tax.  That is until it got before the SCOTUS and argued that it was a tax in order to defend it.  I pointed this fact out when the case was being presented before the court.  As usual, it was dismissed as just another kurtster rant.  HA HA. I told ya so !!!!  again.

The ACA is a new per person ($665 per person minimum when fully implemented) tax on those who can least afford it, the already uninsured who will now have to pay a tax because they are uninsured.  The ACA is a new tax on the middleclass.  IPSO FACTO.

 Umm, November?

Zat so?

We both have the same rules to work with.

And there is already a death panel. If I get sick, I die, because I have no insurance. I worked hard all my life, and now, because I don't have a job, I don't have insurance. Is that fair? 

Actually, now there isn't a cap on how much your insurance will pay, a big change.

And there is already a death panel. If I get sick, I die, because I have no insurance. I worked hard all my life, and now, because I don't have a job, I don't have insurance. Is that fair? 

We have all played by the rules — at least most of us have. Unfortunately, we are now in an era where cuts in government services are going to happen.

Yes, Medicare and Social Security Disability, which I have paid into all my life according to the rules given and receiving according to the rules given.  Working within the system I have no control over.  Playing by the rules.

I haven't complained about the system in place.  Just about the attempts towards changing the system in place.

I had the same rules everyone else has.  Except for illegal immigrants.

I'm in a mood ...

Actually, now there isn't a cap on how much your insurance will pay, a big change.

And there is already a death panel. If I get sick, I die, because I have no insurance. I worked hard all my life, and now, because I don't have a job, I don't have insurance. Is that fair? 

You are receiving government assistance now, yes?

No, I'm alive because I made a choice to work for less money for an employer that had topflight health care.  My entire treatment was paid for by the private sector, all $2 Million worth.  My employer stood behind me and made every possible accomodation within their scope as a small business (5 people, including the two female owners).

I am alive because of the private sector and a truly small business.  The kind that Obama is killing with malice and fore thought.  Only in the past year have I been on Medicare.  I have made my battle very public, wearing it on my sleeve.  I made it clear as often as possible that I made the choice to work for less money for good healthcare that I hoped I would never need.  I made a choice.  It turns out, I made a real smart choice.  I have made this point over and over again, the one about working for less to get something else.  I recognized the value. 

Many people here got sick of me making that point.  The comeback was that there should be good wages and good health care.  People won't work if the money isn't good enough.  Well I worked for enough to live on and get by, not complaining or whining about how broke I was.  Made a few jokes, but to the best of my reccollection, never complained.  Just complained about those who complained, just as you have above.  I played the game within the given rules and won, so far.  Never asked for anything to change.  Rather, I asked for things not to change.

Had I been on government assistance I more than likely would have died.  I doubt that the government is going to spend $2 Million on anyone to keep them alive.  Then, now or in the future.

.
Go ahead tell me I'm wrong about the government spending that kind of money on anyone.  I would certainly been told I'm not worth it, especially at my age.  A death panel by any other name.