So, so true. It’s amazing how most of the research about its impact boils down to 1) the exchanges don’t work because no one wants a “bronze” plan with 60% actuarial value and 2) medicaid expansion is a life-changing success for people with the good fortune to live in states that accepted it.
The ACA passed the week I turned 18 and I am still angry, just more coherent about it now.
I mean, personally it has been hilarious watching my insulin go from costing about 90 bucks a month to well over a thousand until I hit my deductible (at which point it is free and I laugh at them because this is most of the year). And I have theoretical great plan, hahaha.
I was happy to be able to buy non-useless, moderately-priced insurance on the Exchange for the three years it was up and I was running on temp and contract work. Mid-tier Silver seems to be the settling point for where plans and people should target.
I suspect that kind of consumer is who they had in mind when they designed it, and they expected states to pick up the kind of chronically ill but not legally-speaking capital-D disabled people but instead you have that population on newly-shitty employer insurance or exchange plans with poor cost-shifting resulting in these deductible traps, prescription ogliopolies, etc.
There’s some good in it! But if we have One Shot and they spent it on this…
Hmm, I think that’s fair, now that I think of it, his stuff for the last six or so months has been getting tiresome. He doesn’t do much of the segments that I enjoy any more (the more silly ones, or playing random oddball games on Steam).