"The affordable care act, for all of the criticism it gets from the right, and also the left…is at least an attempt to change a broken system, an attempt to regulate much of the malodorous behavior of health insurers. But it was also an attempt to keep insurers in the game. Gone is the idea of Medicare for all, a public option, or truly universal coverage. Socialized medicine? Hardly.
In fact, the ACA was actually an attempt to further entrench the private sector in the health care system. In exchange for the changes in policy, the health insurers were given a guarantee that those that don’t buy insurance, especially those coveted young and healthy individuals, would have to buy a policy. That’s the individual mandate. This firms up the actuarial tables, and begins to make insuring everyone a much more palatable idea to the insurance industry."