Healthcare under Threat again by GOP. Set up lawsuit with GOP judge DOJ refuses to defend,

In a brief filed in a Texas federal court and an accompanying letter to the House and Senate leaders of both parties, the Justice Department agrees in large part with the 20 Republican-led states who brought the suit. They contend that the ACA provision requiring most Americans to carry health insurance soon will no longer be constitutional and that, as a result, consumer insurance protections under the law will not be valid either.

The bold swipe at the ACA, a Republican whipping post since its 2010 passage, does not immediately affect any of its provisions. But it puts the law on far more wobbly legal footing in the case, which is being heard by a GOP-appointed judge who has in other recent cases ruled against more minor aspects.

In an unusual filing just before 6 p.m. Thursday, when the brief was due, the three career Justice attorneys involved in the case - Joel McElvain, Eric Beckenhauer and Rebecca Kopplin - withdrew.

The department's argument, if adopted by U.S. District Judge Reed O'Connor, "would be breathtaking in its effect,' said Timothy Jost, a retired Washington and Lee law professor who follows such litigation closely. "Of all of the actions the Trump administration has taken to undermine individual insurance markets, this may be the most destabilizing . . . [If] I'm an insurer, I don't know what I am supposed to do or not."

University of Michigan law professor Nicholas Bagley, another ACA defender, went even further in a blog post. "If the Justice Department can just throw in the towel whenever a law is challenged in court, it can effectively pick and choose which laws should remain on the books," he wrote. "That's not a rule of law I recognize. That's a rule by whim. And it scares me."

https://www.washingtonpost.com/national/health-science/trump-administration-wont-defend-aca-in-cases-brought-by-gop-states/2018/06/07/92f56e86-6a9c-11e8-9e38-24e693b38637_story.html?utm_term=.709dc41bd1db

So it looks like they set up this lawsuit to be heard by an anti ACA judge and then pulled the defense of it to ensure it fails. If they are not defending it, who would even file an appeal of the ruling? This is terribly disturbing how far they are willing to go to take away healthcare from the poor and those with Preexisting conditions.

Jesus fucking Christ. Why doesn't the Trump administration just send out people to murder the sick already? We all know they want to do it.

erttheking:
Jesus fucking Christ. Why doesn't the Trump administration just send out people to murder the sick already? We all know they want to do it.

Can't do it all at once, because then there's no one left to trample and scapegoat. Killing off the bottom rung of the societal ladder does them no good, they need the poor and sick around to have someone to blame for dragging the country down. So they just set up the conditions for these people to die off slowly, slowly enough for the next rung up to descend into a similar situation.

The ultimate goal is to turn the handful at the top into distant rulers/observers of the rest of a destitute species. They want to turn everything outside Trump Tower into a post-apocalyptic slum and get us fighting over the last non-irradiated watering hole, while they laugh and gamble quatloos amongst themselves over which desperate wasteland raider can provide the most gory kills for their amusement.

To think this guy was for single payer once, what a joke!

They are really committed to fucking over as many people as they can. Whatever goes through their minds that perpetuate these decisions are symptoms of a sickness that should be more than enough of a warning sign to everyone that they should not be in any place of responsibility for human lives.

WolvDragon:
To think this guy was for single payer once, what a joke!

Keeping in mind that he has somehow held every stance on every issue, I doubt he was ever "for" single payer, instead he is like a bad used car salesman and just tells people what he thinks they want to hear to make them agreeable. Considering his plan from the beginning was to give massive tax cuts to the 1% at the expense of those most at risk of dying if they lose support, I do not see how anyone thought it possible. When you look at his very long history of not keeping up his end of the bargain with business partners, suppliers, the people he he scammed out of tuition money and contractors throughout his life, it should not be surprising. He has had thousands of lawsuits against him for that reason and the people he did business with speaking up about this for a good number of years.

He took the money he owed to those who advanced him their merchandise and bought himself diamond and gold encrusted doors and left them out to dry to lose their businesses and homes for trusting him. I wish more had listened to those trying to warn people ahead of time.

Relevant links:
https://www.nbcnews.com/politics/2016-election/full-list-donald-trump-s-rapidly-changing-policy-positions-n547801
https://www.usatoday.com/story/news/politics/elections/2016/06/01/donald-trump-lawsuits-legal-battles/84995854/
https://www.usatoday.com/story/news/politics/elections/2016/06/09/donald-trump-unpaid-bills-republican-president-laswuits/85297274
https://www.youtube.com/watch?v=TGGOwcknoCY
https://www.youtube.com/watch?v=L-zjGMT06hE
https://www.newyorker.com/news/john-cassidy/trump-university-its-worse-than-you-think
https://www.forbes.com/sites/danalexander/2017/06/06/how-donald-trump-shifted-kids-cancer-charity-money-into-his-business/
https://www.ranker.com/list/garish-donald-trump-possessions/matt-manser

TheVampwizimp:

erttheking:
Jesus fucking Christ. Why doesn't the Trump administration just send out people to murder the sick already? We all know they want to do it.

Can't do it all at once, because then there's no one left to trample and scapegoat. Killing off the bottom rung of the societal ladder does them no good, they need the poor and sick around to have someone to blame for dragging the country down. So they just set up the conditions for these people to die off slowly, slowly enough for the next rung up to descend into a similar situation.

The ultimate goal is to turn the handful at the top into distant rulers/observers of the rest of a destitute species. They want to turn everything outside Trump Tower into a post-apocalyptic slum and get us fighting over the last non-irradiated watering hole, while they laugh and gamble quatloos amongst themselves over which desperate wasteland raider can provide the most gory kills for their amusement.

Of all the dystopia's to come true, I should have placed my bets on Land of the Dead?

Just remember that Trump's bigotry, misogyny and chaotic leadership are a distraction, not the real problem with Trump.

warmachine:
Just remember that Trump's bigotry, misogyny and chaotic leadership are a distraction, not the real problem with Trump.

The real problem with Trump is that millions of people are going to suffer and die due to his decisions. I am not sure how it can be worse than that.

Justice Dept. Says Crucial Provisions of Obamacare Are Unconstitutional

WASHINGTON - The Trump administration told a federal court on Thursday that it would no longer defend crucial provisions of the Affordable Care Act that protect consumers with pre-existing medical conditions.

Under those provisions of the law, insurance companies cannot deny coverage or charge higher rates to people with pre-existing conditions.

The Justice Department said the provisions were part of an unconstitutional scheme that required most Americans to carry health insurance.

The Justice Department said that the protections for people with pre-existing conditions were inseparable from the individual mandate and must also be struck down.

https://www.nytimes.com/2018/06/07/us/politics/trump-affordable-care-act.html

This is a direct, targeted attack on those most vulnerable with pre existing conditions.

warmachine:
Just remember that Trump's bigotry, misogyny and chaotic leadership are a distraction, not the real problem with Trump.

I mean, if you're one of the millions of straight white people who are ALSO being screwed over, sure, but that is because those people are so bigoted that they will get shit on too if it means taking down the people they are bigoted against with them.

You can't totally kill off the working poor. They're the ones that have the largest debts to income. Just make it expensive enough that they'll end up paying far more in interest. Wouldn't want all those needless shareholders, doctor's lobbyist firms, drug reps, private hospitals and corporate officers in health funds to go without their fat stacks, would you?

U.S. government funding alone by GDP (and per capita) outstrips all Australian funded medical care ...

If you include out of pocket expenses and private financing, that's triple. The average American, whether they have healthcare or not, spends more taxmoney on healthcare and isn't even covered for the privilege ... and if they get sick, can spend upwards of 4 times as much as a person who is covered on a simple procedure.

The reason is pretty simple. It's a bit hard to be wheeled into a hospital and start bargaining about prices. More often than not you're unable to barter... and it's not like the uncovered can then dispute their bill after it's been done. Despite, you know, the fact that hospitals and doctors routinely caught giving substandard service (because it's not like anyone will complain) as well as make up expenses.

Just look at pointless drug prescriptions and U.S. doctors. I mean, my solution would be stripping doctors of their licence to practice if they perform knowingly (or criminally negligent) immoral actions. But hey, it's not like basic accountability and fair trading practices brings in fat lobbying cheques for politicians.

If a lawyer gave criminally negligent advice to a client, they'd lose their right to practice.

Turns out pretending like doctors, hospitals and 'health' funds need lobbyists turns into a shittier system with shittier outcomes and far more indebted people.

https://www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande

When you're talking about doctor malpractice in the realms of millions of people each year ... with costs of prescriptions ranging from $11,000+ on average, often to the lowest two quintiles of the American people who cannot afford second opinions or seeing multiple doctors ... it's fucking ridiculous.

And these aren't procedures that 'might help' ... these are procedures and medications for which there is no benefit and perhaps even harmful. We're talking multiple millions of perceivable malpractice. U.S. doctors are the biggest (should be) criminal distributors of recreational drugs alone.

Bigger than the Sinoloa cartel. That's just drugs.

They should be raiding doctor's offices with DEA personnel if they really want to deal with the heroin and meth crisis alone.

If I was living in the U.S. ... I wouldn't give up my Australian citizenship for the world. If I felt sicker than your average flu ... I would book a flight back to Sydney, stay in a great hotel, get myself checked out, fly back if given the all clear, and it would cost me less than half of the sick people who go in to a hospital in the U.S.

That's how fucked up U.S. medical 'care' is. It's absurd. I would not only find it cheaper, I would have better patient outcomes.

When it gets to the point that wasted heathcare costs--not out of pocket expenses, not 'oooh, maybe it might theoretically help'--just openly wasted money dwarves the entire costs of educating all Americans aged 4 to 18, you have a serious fucking problem.

And this isn't just a cost thing. This impacts on innocent people's lives. Bad medicine is often outrightly more harmful than no medicine at all.

Not just on your bank balance, but on your living quality and life expectancy. So much so,thatdespite the massively overblown costs to American taxpayer alone, not including their out of pocket expenses, many of the poorest Americans will go into a hospital ... and simply come out worse for spending that money. And when it gets to that stage of the entire medical establishment having this malpractice cancer, perhaps you need to start storming offices with very angry investigators. Make an example of these people who do it.

Handcuffs, paddy wagons, put it on public television ... because it's malicious assault with a deadly weapon at this point.

When you're talking about just shy of 50% of U.S. doctors engaging in routine malpractice, perhaps you should start looking at it in termsof a criminal syndicate. Mafiosi with scalpels rather than guns. Go in there with Spanish Inquisitors if you must, but when you're talking of 4% of national GDP squandered on corruption in one industry alone ... yeah, maybe the Medical Inquisition ain't a bad idea.

I am utterly fucking shocked when I look at the U.S. healthcare system. Fucking flabbergasted. How on Earth do people put up with something so atrocious on so many counts, in so many ways, and not have rioting in the fucking streets? It makes Sicilian crime families look like fucking saints ... Sicilian crime families in theirmost awful gang wars imaginable couldn't even begin to fucking touch the sides of the U.S. death toll in the medical establishment.

How ... why ... ? The system isn't good for anyone barring itself. This isn't even a socialized medicine vs. private-funded argument anymore ... it's just blatantly corrupt on so many counts.

Surely this is why Americans pack guns, right?

When it gets to the point where the medical establishment is reaching into your pocket and those of your children, extracting a dollar for every twenty they'll have to pay in taxes every year, eventually, and tells you they'll provide you fuck all ... when a nation like France or Australia says; "For that dollar, you and your child get all of this... and statistically it will save you and your family a lot of money..."

I would be livid. As you can probably tell. I am fucking livid on behalf of Americans.

Why aren't you all rioting? Every politician that gets medical lobbyist or drug rep money, threaten to burn them at the fucking stake.

They are literally charging you for that one-oar boat up Shit Creek without your say in the matter. And if you do get sick, they fucking throw stones at you from the shoreline. After they sold you up it at your expense. And 30% of the time, the people that sold you up Shit Creek without your say in the matter will hit you with said stones and then sell you up yet another Shit Creek with yet another one-oar boat you had no choice being in.

And not just you--your children, your parents, your siblings, your friends, your neighbours...

Why aren't people angry? Tell them you have no desire to be in one of their bullshit boats.

U.S. "healthcare" is the biggest Ponzi scheme in financial history. It charges people merely to charge them even more, and then injures them for the sake of charging them once again... and after all of that, it then double bills the taxpayer for the privilege.

It's fucking grotesque. See, when my government taxes me it doesn't have a 5% hole in the budget entitled; "LOL, Fuck You." Paying so much taxes on something that allows a neonatal infant mortality rate twice as high than anywhere else in the Western world for fuck sake. Christ...

Why are you paying taxes to emulate third world countries? See, this is how it works ... your government taxes you to provide services that stop you being a third world country. That's how taxes work. You pay in order to use collective bargaining of the people, to increase opportunities and provide access to services cheaper than paying for them yourself.

Like garbage collection. Or schools. Or hospitals...

You don't pay taxes to get worse treatment. Shouldn't have to point this out. See, when you spend money, you hope that it will provide you some equivalent or greater happiness longterm.

Ain't a mystery.

Addendum_Forthcoming:
*snip*

Classical liberalism, the denial of positive rights, right-wing American libertarianism, and the constant demonization of "communism and socialism are when the government does stuff" has brainwashed a huge part of the population.

As in, there's a worryingly large part of the population that believes society, as a concept, doesn't exist. "Why should my taxes help people who aren't me" and all. It's a cult of individualism.

altnameJag:
Classical liberalism, the denial of positive rights, right-wing American libertarianism, and the constant demonization of "communism and socialism are when the government does stuff" has brainwashed a huge part of the population.

As in, there's a worryingly large part of the population that believes society, as a concept, doesn't exist. "Why should my taxes help people who aren't me" and all. It's a cult of individualism.

But that's just the thing... by capita and GDP, American taxpayers are more socialized than Australian taxpayers concerning healthcare. And Australia has things like the most comprehensive and expansive aeromedical organization in the world.

I could get bitten by a snake in the middle of the Simpson Desert with nary a living soul within 400 kilometres and get an aeromedical team to treat me. And the best thing of all, unlike U.S. doctors and hospitals not have a 32% chance of medical malpractice for their efforts.

Americans are paying more tax on a system that actively seeks to bankrupt them.

American heathcare industry is quite literally the one real thing I can think of where one can legitimately say; "Kill it with fire..." and not be hyperbole.

Hell, it's not like comparable pay cheques are that different either. If calculating the average exchange rate of the AUD/USD over the last 10 years, Australian nurses and GPs are paid more on average and as per business costs. Particularly when you consider the education costs on top. An experienced GP in the public healthcare network (bulk billing) in Australia commands 350K+/year. They also get 10 weeks of holidays standardized on top of that.

That's not even including their superannuation contributions...

Hell ... and it never used to be this bad in the U.S., either.

All those conservative fuckwits screamng about the good ol' days ... well believe it or not, put up or fucking shut up ... because the operational costs of retrieving wounded soldiers from the rearguard in Vietnam during a dust off was probably more affordable and effective than whatever the fuck you call what you have now in suburban America.

It is frightening just how much money is simply squandered on pointless bureaucracy, healthcare loopholes, and double billing the taxpayer. It goes well beynd even the argument of private vs. public. Because even other entirely private systems elsewhere in the world, or semi-private systems like Australia, offer better care, better patient outcomes, better services, and for cheaper.

America's is just broken.

Australia's healthcare system is fucking broken ... America's is like healthcare designed by interdimensional aliens who operate on a quasi-cemented metaphysical realm which is unerringly utterly surrealist compared to our common definitions of reality and matter.

Things like U.S. healthcare is why certain people believe demonic reptilians run rampant in political circles. As it is the very definition of superlative, self-constructed Kafkaesque-ism. It makes no sense, it is utterly inhuman in its dimensions. It's like 4D chess but your life depends on knowing the un-fucking-knowable if only for the downright insanity of its dimensions.

In any resonable extent of human nature and palpable anger, it should cause humans to fucking riot. Clearly U.S. healthcare is not made to deal with sickness. Which is pretty problematic. It's like having a police force say they are not obligated to protect and serve the public as civil servants. You would think, I don't know, that would be the first and last lines of their duty of care.

Someone correct me if I'm wrong here, but didn't the removal of the individual mandate basically make this inevitable? My understanding of the ACA is that the whole thing was basically a massive handout to the insurance industry, requiring everybody to buy health insurance (as a "tax") in exchange for insurers not being able to deny people as easily. But without the individual mandate there's nothing to offset the expense of preexisting conditions, so one can't exist without the other. Which of course is the entire problem of the ACA, it's government making you buy insurance instead of providing it themselves.

Ravinoff:
Someone correct me if I'm wrong here, but didn't the removal of the individual mandate basically make this inevitable? My understanding of the ACA is that the whole thing was basically a massive handout to the insurance industry, requiring everybody to buy health insurance (as a "tax") in exchange for insurers not being able to deny people as easily. But without the individual mandate there's nothing to offset the expense of preexisting conditions, so one can't exist without the other. Which of course is the entire problem of the ACA, it's government making you buy insurance instead of providing it themselves.

people are still having to pay for mandate on taxes until 2019 as of now. The idea here was to get as many people into insurance as possible, and the next step was to provide a " public option" to bring prices down and shift people over to a public system. However, Republicans took control over congress before the next step could happen and have been trying to gut it ever since.

They would not have been able to pass the public option when they were able to pass the ACA, the idea was to " babystep" towards it. Democrats would have to take over both houses in congress for that to even be a remote option at this point. The problem is now that if preexisting conditions get dropped, many people will actually die due to the charity support and state systems that were in place prior to the ACA mostly no longer exist so there would be no immediate help for all of the people who would lose medication necessary for them to survive. There area good number of people who cannot even survive a day without their medication on ACA plans.

People will literally die waiting for something else to become available to help them. You have to have something existing in place in order to be able to shift it over to a new system to fill the gap. That is what the ACA was capable of being. Once they had the public option directly competing with insurers, they would be forced to bring prices down as more moved over. Once it was established, they could enforce stricter price regulations shifting it further to the public option until eventually private insurance became only supplemental to the public option that everyone was on.

This is how insurance works with Medicare, and how it would eventually work with everyone if it had been allowed to progress to that point.

the steps should have been:
1)Pass ACA ( this gets more people into insurance so we have them in the system in the first place)
2)Medicaid expansion ( this provides medicaid for all of those who could not afford even the least expensive plans)
3)Insurers not on ACA pull all the well people and dump all the sick people on to the ACA, showing the need for public option and increasing support for that and more insurer regulation.
4) with the increased support for insurance regulation and public option finally being able to pass both.
5) shifts more people to medicaid and public option, allowing for them to be combined into one reducing need for private insurance.
6) private insurance becomes supplemental only as everyone is moved over to public option as regulations increase to increase quality and reduce costs.

What happened instead:
1) Republicans put too many loopholes for them to exploit into the ACA, allowing many to opt out.
2) Republican states refused to expand medicaid leaving the poor out completely
3) Republicans refuse to make payments to ACA insurers leaving them in Limbo.
4) Republicans try to repeal ACA and refuse to discuss public option
5) Republicans attack preexisting conditions and individual mandate one going as far as to claim that poor people do not want healthcare.
6) Republicans attack preexisting conditions in court when failed to repeal in congress.

In order to ever have good healthcare in the US, they have to get rid of the republicans first.

Lil devils x:
[people are still having to pay for mandate on taxes until 2019 as of now. The idea here was to get as many people into insurance as possible, and the next step was to provide a " public option" to bring prices down and shift people over to a public system. However, Republicans took control over congress before the next step could happen and have been trying to gut it ever since.

They would not have been able to pass the public option when they were able to pass the ACA, the idea was to " babystep" towards it. Democrats would have to take over both houses in congress for that to even be a remote option at this point. The problem is now that if preexisting conditions get dropped, many people will actually die due to the charity support and state systems that were in place prior to the ACA mostly no longer exist so there would be no immediate help for all of the people who would lose medication necessary for them to survive. There area good number of people who cannot even survive a day without their medication on ACA plans.

Dems had full control of Congress and the presidency 2008-2010, what exactly was stopping them from passing single-payer or public-option instead of this absurdly convoluted plan that'd depend on them retaining that control for years?

Ravinoff:

Lil devils x:
[people are still having to pay for mandate on taxes until 2019 as of now. The idea here was to get as many people into insurance as possible, and the next step was to provide a " public option" to bring prices down and shift people over to a public system. However, Republicans took control over congress before the next step could happen and have been trying to gut it ever since.

They would not have been able to pass the public option when they were able to pass the ACA, the idea was to " babystep" towards it. Democrats would have to take over both houses in congress for that to even be a remote option at this point. The problem is now that if preexisting conditions get dropped, many people will actually die due to the charity support and state systems that were in place prior to the ACA mostly no longer exist so there would be no immediate help for all of the people who would lose medication necessary for them to survive. There area good number of people who cannot even survive a day without their medication on ACA plans.

Dems had full control of Congress and the presidency 2008-2010, what exactly was stopping them from passing single-payer or public-option instead of this absurdly convoluted plan that'd depend on them retaining that control for years?

Widespead disdain for the idea from centrist and center-right members of the party, wide spread shitfits being thrown my the GOP, the bizarre idea that the Dems would be able to make a "bipartisan" health care bill, leading to over a year of negotiations and dozens of GOP amendments to a bill that didn't get a single GOP vote, etc.

Addendum_Forthcoming:

altnameJag:
Classical liberalism, the denial of positive rights, right-wing American libertarianism, and the constant demonization of "communism and socialism are when the government does stuff" has brainwashed a huge part of the population.

As in, there's a worryingly large part of the population that believes society, as a concept, doesn't exist. "Why should my taxes help people who aren't me" and all. It's a cult of individualism.

But that's just the thing... by capita and GDP, American taxpayers are more socialized than Australian taxpayers concerning healthcare. And Australia has things like the most comprehensive and expansive aeromedical organization in the world.

I could get bitten by a snake in the middle of the Simpson Desert with nary a living soul within 400 kilometres and get an aeromedical team to treat me. And the best thing of all, unlike U.S. doctors and hospitals not have a 32% chance of medical malpractice for their efforts.

Americans are paying more tax on a system that actively seeks to bankrupt them.

American heathcare industry is quite literally the one real thing I can think of where one can legitimately say; "Kill it with fire..." and not be hyperbole.

Hell, it's not like comparable pay cheques are that different either. If calculating the average exchange rate of the AUD/USD over the last 10 years, Australian nurses and GPs are paid more on average and as per business costs. Particularly when you consider the education costs on top. An experienced GP in the public healthcare network (bulk billing) in Australia commands 350K+/year. They also get 10 weeks of holidays standardized on top of that.

That's not even including their superannuation contributions...

Hell ... and it never used to be this bad in the U.S., either.

All those conservative fuckwits screamng about the good ol' days ... well believe it or not, put up or fucking shut up ... because the operational costs of retrieving wounded soldiers from the rearguard in Vietnam during a dust off was probably more affordable and effective than whatever the fuck you call what you have now in suburban America.

It is frightening just how much money is simply squandered on pointless bureaucracy, healthcare loopholes, and double billing the taxpayer. It goes well beynd even the argument of private vs. public. Because even other entirely private systems elsewhere in the world, or semi-private systems like Australia, offer better care, better patient outcomes, better services, and for cheaper.

America's is just broken.

Australia's healthcare system is fucking broken ... America's is like healthcare designed by interdimensional aliens who operate on a quasi-cemented metaphysical realm which is unerringly utterly surrealist compared to our common definitions of reality and matter.

Things like U.S. healthcare is why certain people believe demonic reptilians run rampant in political circles. As it is the very definition of superlative, self-constructed Kafkaesque-ism. It makes no sense, it is utterly inhuman in its dimensions. It's like 4D chess but your life depends on knowing the un-fucking-knowable if only for the downright insanity of its dimensions.

In any resonable extent of human nature and palpable anger, it should cause humans to fucking riot. Clearly U.S. healthcare is not made to deal with sickness. Which is pretty problematic. It's like having a police force say they are not obligated to protect and serve the public as civil servants. You would think, I don't know, that would be the first and last lines of their duty of care.

Propogand is very powerful, yes.

Ravinoff:

Lil devils x:
[people are still having to pay for mandate on taxes until 2019 as of now. The idea here was to get as many people into insurance as possible, and the next step was to provide a " public option" to bring prices down and shift people over to a public system. However, Republicans took control over congress before the next step could happen and have been trying to gut it ever since.

They would not have been able to pass the public option when they were able to pass the ACA, the idea was to " babystep" towards it. Democrats would have to take over both houses in congress for that to even be a remote option at this point. The problem is now that if preexisting conditions get dropped, many people will actually die due to the charity support and state systems that were in place prior to the ACA mostly no longer exist so there would be no immediate help for all of the people who would lose medication necessary for them to survive. There area good number of people who cannot even survive a day without their medication on ACA plans.

Dems had full control of Congress and the presidency 2008-2010, what exactly was stopping them from passing single-payer or public-option instead of this absurdly convoluted plan that'd depend on them retaining that control for years?

Dems =\= liberals. Conservatives= republicans and democrats. They have to be able to get enough progressive dems into office to be able to pass anything. The blue dog dems will not support public healthcare, then you have the centrists that need a lot of convincing. That was why this had to be done in baby steps.

Somehow people have this idea that well democrats won't fix it immediately we will put republicans in there, and that is the worst possible thing you can do because the entire time republicans have control, they are undoing as much as possible as fast as they can so that when dems do finally get back in control, they will not be able to make any progress at all because they will spend all their time relaying the foundation before their time is up. They have to fix everything republicans did, not just start over where they left off.
The biggest mistake the democrats have made is assuming that "the people" knew what was actually happening and paid attention to voting records. The reality is they have not been paying attention to what has actually been happening or voting records and instead just believe what people are telling them without looking it up for themselves.

It works like this democrats= moving forward, even if it is slow at times. Sometimes they have to fight for every inch they can get.
Republicans = destroy all progress made and put as many barriers as possible to keep them from getting anything done next time.

That is the reality of what we are dealing with in regards to healthcare, environment, education and planning for our future (among other things).

Senior Justice department Lawyer resigns over DOJ decision to not defend Healthcare:

Joel McElvain, who has worked at the Justice Department for more than 20 years, submitted his resignation letter Friday, the morning after Attorney General Jeff Sessions notified Congress that the agency will not defend the ACA ? the 2010 law known as Obamacare ? against lawsuits brought by Republican-led states challenging its requirement that most Americans carry health insurance.

https://www.washingtonpost.com/world/national-security/senior-justice-dept-lawyer-resigns-after-shift-on-obamacare/2018/06/12/b3001d7c-6e55-11e8-afd5-778aca903bbe_story.html?utm_term=.62348c3a50f2

At least one man in the DOJ has the guts to stand up for what he sees is very wrong.

House Democrats demand answers from HHS:

House Dems demand answers from HHS on DOJ's ObamaCare decision

A group of House Democratic leaders are demanding answers from the Trump administration about the role the Department Health and Human Services (HHS) played in the Department of Justice?s decision not to defend key parts of ObamaCare in federal court.

The lawmakers asked HHS Secretary Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma if their respective agencies conducted any analysis on the impact the decision will have on the country?s health-care system.

t was signed by Energy and Commerce Committee ranking member Frank Pallone Jr. (N.J.), Ways and Means Committee ranking member Richard Neal (Mass.), Judiciary Committee ranking member Jerrold Nadler (N.Y.), and Education and the Workforce Committee ranking member Bobby Scott (Va.).

By declining to defend ObamaCare's preexisting condition protections, ?the Trump administration is seeking to invalidate these critical patient protections, and once again subject millions of Americans with pre-existing conditions to the discrimination they faced before [ObamaCare],? the Democrats wrote.

The decision ?breaks with DOJ?s longstanding tradition of defending laws enacted by the United States Congress, and constitutes yet another attempt by the Trump Administration to sabotage the [Affordable Care Act] at the expense of consumers across the nation,? the letter said.

http://thehill.com/policy/healthcare/politics-elections/392067-house-dems-demand-answers-from-hhs-on-dojs-obamacare

Ravinoff:
Dems had full control of Congress and the presidency 2008-2010, what exactly was stopping them from passing single-payer or public-option instead of this absurdly convoluted plan that'd depend on them retaining that control for years?

They didn't want to be seen as ramming a partisan bill through Congress in a great hurry. Obama made the calculated decision to try and get Republican buy-in to his healthcare plan because he figured that a plan which had bipartisan support would be more resilient to attack from subsequent administrations. So he based the plan on an existing Republican healthcare reform bill passed in Massachusetts - created by Mitt Romney, of all people - and incorporated almost two hundred amendments from Republicans on the text of the bill.

None of it mattered. The GOP ended up giving no votes to the ACA and then ran a highly successful propaganda campaign claiming that the Democrats had done the very thing they were taking great pains not to do. The Republican smear of the Affordable Care Act was one of the greatest political accomplishments of the decade. They managed to take a Republican health care plan and present it as socialised medicine.

In retrospect, Obama was squandering an opportunity to make a more comprehensive and better reform to the healthcare system - not necessarily single-payer, but maybe something like Clintoncare. But that's only in retrospect. Obama made the mistake of believing that he could negotiate in good faith and get Republicans to support a Republican healthcare plan when it was proposed by a Democrat president. He fundamentally overestimated their moral and intellectual integrity.

 

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