Passing ACA was an amazing accomplishment.

I am convinced that the HMOs are as strong as, or even stronger than the lobbies representing guns, Israel, and Senior Citizens.


President Obama used his political capital to get it done.

Behind the scenes, people can criticize all they like but Rahm Emanuel certainly bloodied some noses and burned a few bridges, but he too gets enormous credit.

Sadly in tribal America - Reds and Blues can't come together - - as citizens and just talk. Because it IS us verses them vis a vis the large insurers. They aren't doctors. They aren't nurses. They aren't creating drugs. But they are laughing all the way to the bank and a majority of doctors are simply collection agencies, insurance administrators, and whores to the insurance companies.

SOMEWHERE between great American business and competition - ALONGSIDE government administration and watchdogging - there's gotta be waist keep the great elements of care - but send the HMO folks down the shit chute.

Whether I'm a Trumper, Biden Guy, an AOC'er.......all of us at one time or another will utilize health care.