If ObamaCare isn't repealed, the US healthcare market will stratify in three segments:
- The young invincibles won't be signing up anytime soon. To them, it's a just a tax. If they do have a major medical, they'll typically have their parents pay for it out of pocket or on their plan, if they have one.
- Those that can afford it will pay cash for concierge doctoring which will pretty much be as it is for them now. These folks can afford a major medical calamity out of pocket.
- Those who can't afford paying cash will have to deal with ObamaCare with it's increased wait times, poorer care, smaller network, shorter approved prescription list, and will do so for the simply fact that if they had a major medical calamity, it'd bankrupt them, not that the proposed premiums and deductibles would already anyway.
Regardless, without the young invincibles signing up, who are not signing up in droves by the way, ObamaCare is going to go bankrupt by
- Covering the medical expenses of those who do sign up, the more sickly and elderly, and
- Bailing out / paying off the health care insurance companies who aren't making profit, which is in the law itself.
Assuming that the Republicans gain control of both houses, and if the Republicans do take on ObamaCare, it'll be 'improvements' or 'fixes' that essentially hollows out the existing bill and writes a new one (possibly a more viable and financially sound one) in its place under the same name. This so that the narcissist Obama can still call it 'Obamacare', leaving his legacy in place, well so to speak.
If the Republicans don't take this track, or if Obama vetoes the proposed 'fix', the health care system in the US will descend even further into chaos. Part of me is thinking this is as intended by the liberals / progressive / Democrats, in order to promote a government run single payer system, the end goal from day one.
WRT Single Payer: The part that I don't get, with the abject failure of ObamaCare which was partial government control, how are the liberals / progressives / Democrats going to sell total government control to the electorate? I mean the US electorate is slow and doesn't always pay close attention ()after all Obama got elected on little more than a Hope and Change slogan), but how could they miss this abject failure of ObamaCare and then turn around and ask for more?