In light of the just-expanded #ACA subsidies *and* the pending SCOTUS decision on the fate of the ACA due to the zeroing out of the mandate penalty, a reminder:
acasignups.net/19/02/26/blast…
During the 2008 primaries between Obama & Clinton, *she* was the one arguing that an individual mandate penalty was necessary to prevent adverse selection, while Obama argued that if the coverage was affordable enough, a mandate wouldn't be necessary. This was a MAJOR flashpoint.
In the end, Obama won the nomination & Presidency...but when the #ACA was signed, it included an individual mandate penalty after all...but the subsidies weren't nearly generous enough for many people.
This means that when the GOP, after spending a solid decade trying to repeal "Obamacare", zeroed out the federal mandate penalty...they actually ended up making it CLOSER to "Obamacare" instead!
Now, w/the #AmRescuePlan beefing up the subsidies as well, the #ACA is much closer (if only temporarily for the moment) to Obama's original vision...but guess who included #KillTheCliff & #UpTheSubs in her *2016* healthcare plan? @HillaryClinton! cnn.com/2016/10/25/pol…
The point isn't that "Obama was right & Hillary was wrong"--zeroing out the penalty *did* lead to avg. premium increases of around 6-8%, and having the mandate *without* the more generous subsides was hardly what either of them had in mind.
The point is that minor policy differences don't make one candidate Good and the other one Evil. In the end, Obama adopted some of Hillary's proposals, made her his SoS, and the two became friends. Now President Biden is working to continue the original visions they both had.

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More from @charles_gaba

20 Mar
For all the demonizing of health insurance companies (much of which is well-deserved), *hospitals* have gotten off pretty easy in the public eye...
No matter how sucky you may think your insurance carrier is, they’re limited to no more than a 15-20% gross (not net) margin by the ACA, and ultimately they aren’t usually the ones with the price negotiating power. That’s usually more on the providers side.
Of course sometimes the provider is ALSO the insurance carrier these days...that’s where antitrust and merger issues come into play. Guess who’s known for being a tough warrior against that sort of thing? @SecBecerra.
Read 4 tweets
19 Mar
📣 Weekly Update: Which *counties* have the highest cumulative per capita rates of #COVID19 cases & deaths?
acasignups.net/21/03/19/weekl…
Very little has changed since last week. The biggest change: The 100 U.S. counties with the highest #COVID19 death rate per capita have gone from voting for Donald Trump by 19 points...to voting for Donald Trump by *20* points.
Nationally, both cumulative #COVID19 cases and deaths per capita are still higher in red counties, though the ratio has narrowed slightly: Image
Read 4 tweets
19 Mar
My wife and I will be part of that 100 million—getting our first shots tomorrow!
I wonder if we get a prize or something like a grocery store promotion...
👍 BOOM. First 💉 dose complete!
Read 6 tweets
18 Mar
📣 CALIFORNIA: @CoveredCA announces expanded subsidies will auto-start in May; new subsidy calculator available April 12th; much, MUCH more!
acasignups.net/21/03/18/calif…
📣 @CoveredCA estimates 1.2 MILLION uninsured residents are eligible for *far less expensive* (or nearly free!) #ACA coverage thanks to the #AmRescuePlan
📣 They also estimate another *430,000 residents* currently paying full price for off-exchange #ACA plans are now eligible to have their premiums cut by MORE THAN 50% on average simply by switching to the same plan *on* the @CoveredCA exchange.
Read 4 tweets
17 Mar
📣 PREPARE THYSELF: #ACA2.0 IS HAPPENING (Part 1):
acasignups.net/21/03/17/prepa…
Short version: The expanded subsidies in the #AmRescuePlan are fantastic, but are only for 2 yrs & only reduce premiums, not deductibles/co-pays. if @SenatorShaheen's #S499 becomes law, not only would that expansion be made *permanent*...
...but it would also accomplish the SECOND major provision of @POTUS Biden's healthcare vision by *upgrading the benchmark #ACA plan* from SILVER to GOLD *and* upgrade *CSR* subsidies as well. Combined, this would dramatically cut down deductibles/other out of pocket expenses.
Read 43 tweets
16 Mar
Powerful. I’m reminded of @ZachWahls famous speech a decade earlier.

The part at the beginning about people “not getting it” also reminds me of something I seem to recall @GovHowardDean saying when he signed the first civil union bill into law (I could be getting this wrong):
As I recall, he said something along the lines of “Lots of people say they’re not comfortable with same-sex couples; I’m not sure I’m entirely comfortable with it either, but it’s not my job to be comfortable, it’s my job to do the right thing.”
Read 4 tweets

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