The more complex a system is, the more it is at risk of failing in complex ways that were not anticipated by its architects. It would be hard to imagine a more complicated way of expanding health coverage than the Affordable Care Act.I say that, appreciating that Obamacare will eventually bring health coverage to tens of millions of uninsured people, that it will end the cruelty of denials of coverage based on "pre-existing conditions" (we all have the pre-existing condition of mortality); that it will allow young adults to stay on their parents' insurance to age 26; and that it will require free preventive care under all insurance plans. But there was a much simpler way of achieving this.
There's no doubt HealthCare.gov was weighed down by technical problems and that there are concerns about the ACA that need to be addressed. But this doesn't mean we should abandon the crucial health care reform that is now, for the first time, the law of the land.
Perhaps the oft-repeated truism that the biggest fear of Tea Party Republicans is that people will actually be happy with ACA -- and thereby fatally undermine their goal of dismantling the social safety net -- is correct.
When Obama accepted this conservative health care proposal, how did the Republicans respond? Republican Congressman Todd Akin spoke for much of his Party: "Today America is threatened with a Stage Three cancer of socialism, and ObamaCare is Exhibit 1."
Clearly, our political system is going through some of its greatest challenges. When competing values are so polarized, systemic seventh level thinking doesn't see the light of day as the entire system heads into collapse.
What is so ironic is that the very congressmen and women who were berating Sebelius due to ACA's website failure have been trying to repeal, replace and de-fund the ACA.
Although it's been a week heavy on Obamacare, we're going to (mostly) look forward this week, to the upcoming budget battles. Because buried in the Obamacare stories this week was one very important bit of news.
The fact is that more than 700,000 Americans have managed to apply for a new health insurance plan. How did these people get through? With tenacity, consumer smarts, and some of the steps highlighted below.
For most of last month, tea party Republicans shut down the government to hold back Obamacare. But now, in a clear irony, many of those same members are standing up to expand the subsidies offered by the one outright socialist insurance program the federal government maintains.
A while ago, I advocated political realignment, replacing the Republican and Democratic parties with two new parties, The Fools and the Knaves.
In every one of those cases, the customers who lost their plans are being offered better plans -- either by their current insurance carrier or on the government-run exchange.
Web access to insurance under the Affordable Care Act has been the redheaded step-child of Republican talking points as they drive to find a way out t...
Am I unique among doctors in how little I pay for medical malpractice? Not really, but before we discuss what other doctors pay, I'd like to discuss national trends for medical malpractice. Believe it or not, the cost of medical malpractice has been dropping, nationally, for about a decade.
The media have taken the bait, and reduced an important policy debate to the bite-size of what fits on cable news in between stories about celebrity break-ups and new diet books. The idea they are parroting fits on a bumper sticker.
The opponents of reform have used reckless, baseless charges to try to kill reform. I'm glad that President Obama used a slight exaggeration to finally provide secure health coverage for all Americans.
1. Maximum Age for Dependent Medical Coverage: ObamaCare: 26; MamaCare: None. It's always and forever