I agree here. I have said over and over that we we need to strategically make lots of cuts and/or consolidation of agencies. Many of the agencies we have are redundant. And there may be some that just aren't working. People like esmith and Revoltingist make some very valid points. Many of these points need to be set along side the points that democrats have and I'm sure we could find some common ground. Considering our healthcare system is a hodgepodge I'm sure we could could streamline it and do a universal healthcare seeing as though we spend twice or more than most other industrialize countries. Many on the right and some Libertarians don't believe the government should be involved in healthcare but I say that if we're going to do it then do it in a way overall that doesn't cost as much as the current (systems) we have.
There here made lots of sense and I'm sure it still goes deeper than this....
https://www.youtube.com/watch?v=qSjGouBmo0M
I was quite disappointed in the ACA as I'm a firm believer in the KISS approach. However, many compromises had to be made in order to get
anything passed.
To me, the ACA is a "work in progress", and what you'll probably see in 20 or maybe even less years will be undoubtedly different in many different ways that what we have now. As far as the Republicans are concerned, they sat on their duffs and did nothing but pass Medicare Plan D, which they threw onto the deficit. They had the opportunity to deal with a deteriorating medical system whereas medical inflation was over 9% per year, literally doubling between 1997 and 2007, but under "W" they did nothing.
Yes, some things the Republicans have been saying are spot on, no doubt, but they really offer nothing to even fix the problem areas, and junking the entire ACA is not a fix. If they want to keep certain parts of it, fine, but then they need to explain how they intend to pay for that, which they haven't done. Ryan's three-page attempt was a joke, and you certainly don't see other Republicans jumping aboard to push it.
Nor do the Republicans offer any plan on how they're going to deal with getting at least some basic insurance for all Americans, thus keeping millions of people from rushing into emergency rooms at high-cost levels for sometimes procedures that are best handled at local doctors or even just pharmacies.
Like dealing with our deteriorating infrastructure, the Republicans just don't care. Here in Michigan, our pot-holes have pot-holes, and the Republican controlled legislatures are thinking about giving tax breaks in this election year instead of helping communities deal with the terrible roads we have here. They seemingly forget that it was the pot-hole issue that went unfixed that undid Engler's "popularity" in his 2nd term. After that, he couldn't have run for dog-catcher here.