I've just had a lively discussion with my mom about this very topic. I was arguing a number of different angles to the same problem.
Namely,
The current pre-PPACA system is non-competitive and non-capitalistic and should not be defended as such. The argument can be made that it shouldn't be held to that standard; sales under duress are mostly banned in other competitive industries, prices are posted in other competitive industries, Choice does not truly exist for non-elective health care and lay people cannot be required to understand the intricacies or make well reasoned decisions in emergency situations.
The current system is unsustainable and will eat every penny of growth that we will see for the foreseeable future.
The new Affordable Health Care Law could help lower cost in the short term due to its mandate that those outside of the adverse selecting pool must carry some level of insurance.
But the law is unconstitutional by my adolescent but eager understanding of the Constitution; the power should be enumerated through an amendment as other expansive federal power grabs have been required to be (ie income tax, abolition of slavery, etc)
But the current law is an abuse of the commerce clause and usurps the protected constitutional authority of the States, or the people.
But the States have mostly failed to protect the interests of the people in this regard
But it could be constitutional if we enumerated it to be so.
The federal government could pass laws requiring some action be taken by States which meet some minimum standard of citizen protection.
The appropriate governmental entity could separate elective health care requirements from non-elective health care requirements (similarly to how assigned risk auto is broken down in my state - mandatory BI, non-mandatory collision)
Etc, Etc. I've been told that one sign of intelligence is the ability to push for various opposing arguments simultaneously, so I try to do that as objectively as possible. People tend to fundamentally mis-understand the new law and think it is a single payer system. These people need to be educated to hate it for what it is, not what it isn't and find wisdom where it exists in the law.
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