Tag Archives: Bernie Sanders

MAKE AMERICA GREAT AGAIN? THIS ELECTION SEASON I’D SETTLE FOR MEDIOCRITY.

drumpf

 

Earlier today I blew up on Facebook. I called friends who generally share my views stupid and those who don’t stupider. Much of my heartfelt enmity is the result of the rise of Drumpf.

Why do I refer to him as Drumpf? You can thank John Oliver for that.

Immediately after my viewing of this episode I downloaded the Chrome extension that converts Drumpf to Drumpf (I have found I can’t even type the actual name here without it undergoing the transformation) on stories in my browser. It is one small consolation to see this at work in the headlines and stories I see on Slate, Huffington Post, Rolling Stone, and elsewhere, even on sites that lean farther right.

I deplore the lowlghts from all the 2016 campaigns. Our Presidential  electoral process is in the gutter, dragged there by Drumpf who has been joyfully joined there by Marco Rubio  who questions the size of Drumpf’s penis; by Ted Cruz simply being Ted Cruz; by Jeb Bush forced to defend charges of being a mommy’s boy; by Ben Carson, who fell in while sleep walking; by John Kasich, who destroyed any possible claims of being a moderate by defunding Planned Parenthood; and by the millions of presumably sentient human beings who listen to all the crazy talk about immigrants and an out of control government who couldn’t pass a U.S. citizenship/civics test if it were an open book exam and the original Declaration of  Independence and Constitution were splayed in front of them.

Holding them hostage there are David Duke and the Ku Klux Klan and other white supremicist groups armed to the teeth courtesy of the National Rifle Association, crazed Evangelicals who believe Drumpf somehow possesses better Christian bona fides than the Pope when The Donald is probably more likely to provide a quote from a Smokey Stover comic book than from II Corinthians when asked about his favorite Bible passage.

Let us not forget the Secret Srvice which somehow has improved its training to the point that a reporter who wanders 10 inches outside the designated journalist area at a Drumpf rally is strong armed when only a few months ago intruders inside the White House grounds stole President Obama‘s favorite chocolate chip cookie recipe before being hustled to the requisite nearby mental hospital for observation.

Oh I’m not forgetting the Democrats. Their participation is in somewhat shallower waters near the curb cutouts that allow wheelchair crossing rather than in the middle of the block, but where the H2O is equally putrid. This time it is not so much the candidates themselves…Bernie Sanders and Hillary Clinton …hurling invectives at each other so much as it is the so-called BernieBros who have been accused of ugly misogynistic characterizations of the other camp while feminist icons Like Gloria Steinem, though using politer language, are equally sexist in how they portray young female Sanders enthusiasts.

And from these nominal Progressives come the enabling threats to withold their vote from the nominee should he or she not be the one they love to death at this moment. Enabling threats because by doing so they will practically guarantee that our next President will have a bulbous red nose, bizarre multi-colored makeup, a fright wig,  and will be making nonsense noises as he struts around the circus ring. Of course all but Drumpf will need to be fitted for this outfit.

Accompanying this flotsam down the gutter where it will eventually empty into the stream that will make the water supply of Flint, Michigan seem utterly pristine by comparison are various pundits, analysts, economic gurus, and the like offering opinions that may be parsley, rosemary, or thyme, but most certainly not sage.

Perhaps the only good that is coming from this is Spotlight. No, not the latest Oscar winning film but the harsh relentless glare focused on the entire Presidential nominating process that places premiums on a candidacy that begins within weeks after the prior election and is fueled by endless speculation, pollmongering profiteers, the need to fill cable TV news with anything but substance, and the proliferation of web sites whose sole purpose is to promulgate lies, denigrate anyone with opinions different from theirs, and disregard anything remotely likely to benefit the America they all profess to love but which they incessantly subject to virtual domestic violence while declaring their fealty between bruising blows.

Super Tuesday is an agglomeration of primaries in states and American Samoa which would be significant just for the sheer numbers of opportunities for voters to express their choices were it not for the media telling us that the issues have been decided by the primaries/caucuses already consigned to history in Iowa, New Hampshire, Nevada, and South Carolina and whch have a combined poulation dwarfed by the Commonwealth of Pennsylvania whose own 2016 primary is not until April 26, a date by which the names of many former candidates will be not even a memory and which may represent only the merest possibility of ultimate success to the horses (asses) still in the race.

All this makes the Swiftboating of John Kerry in 2004 look more like the highest level of forensic debate by comparison.

Oh, hell. I’ll admit it. I, too have awkwardly stepped off the curb and fallen into the slime. But the murky waters are deep and I really can’t swim so I am about to drown in this torrent I am now a part of.

In splashing around for survival I might occasionally send splurges of nastiness into the open mouths of others, but they were there first voluntarily.

HOMES OF THE MAYBE RICH AND WANNA BE FAMOUS

OLYMPUS DIGITAL CAMERA

We are rapidly, or maybe not rapidly enough, moving towards the 2016 Presidential election. The house pictured above is the residence the announced candidates aspire to inhabit. But what about their current residences? How do they compare?

We are blessed by this article which gives us pretty pictures of the house or houses owned by some of the candidates, but limited to only Trump, Bush, Clinton, and Sanders.

http://www.homes.com/blog/2015/09/presidential-candidate-homes/

I have not been able to obtain photographs, but I am assured by reliable sources that the following descriptions are accurate depictions of their living spaces for some of the other candidates.

Mike Huckabee—a little warren within some evangelical church, away from the riff-raff whom he has time for only to deliver his latest irrational screed. Inside his personal area the walls are plastered with pictures of various acts of sado-masochism performed by him with waitresses from Hooters. Oh, and a portrait of Soupy Sales.

Rick Perry—His house is built to emulate the Allan B. Polunsky Unit in West Livingston, Texas which contains the state’s Death Row. Inside, Perry’s great room contains plenty of loungers with wrist, waist, and ankle straps and IV poles ready to deliver his guests’ beverage of choice.

Scott Walker—-Surprisingly he lives a very ascetic life in a bare bones home. After all, even in these times it’s difficult to fully furnish and decorate a house without objects that were union made. Obviously he has no car.

Rand PaulDesigned by renowned architect Howard Roark Paul’s home has a small but comfortable library which holds only the works of Ayn Rand…oh…and the Gideon Bible he brought home from his last national Ophthalmology Convention, aiming to use it for guidance when advising Kentucky County Clerks on their job duties.

Ben Carson—A comfortable but not ostentatious home in which his favorite room is the one where he displays mementoes of his life. Among thse are a brain preserved in formaldehyde complete with electric stimulators he can operate for old times’ sake, a sonogram of the pre-aborted fetus he later used for stem cell research, and an unused booklet of Food Stamps from his childhood.

Martin O’Malley—He lives in a house that formerly housed one of those crab shacks like you find dotting the Maryland shore. He maintains a supply of wooden mallets, a stack of old newspapers (each containing a report of one of his speeches) used to cover the wooden picnic table where his family dines, and a to-the-ceiling pile of O’Malley For President bumper stickers that no one has accessed his web site to request.

Rick Santorum—Since his unpublicized divorce and remarriage, he had to move into his new spouse’s dog house.

Chris Christie—Has houses all over the country. You can recognize them by the Dunkin Donuts logo outside.

Carly Fiorina—Her house is an nondescript suburban block and brick building, miles from public transit, part of which she leases to the local unemployment office serving laid off tech workers.

Jim Webb—A 3476 sq ft Virginia Colonial, indistinguishable from most of his neighbors save for the electric message sign in front displaying a continuous loop reading “I AM NOT THE JIM WEBB WHO WROTE THAT ATROCIOUS SONG MACARTHUR PARK. There is currently a class action by his neighbors pending in which they seek damages for the ear worm they cannot get rid of.

Jeff Boss, Harry Braun, Lawrence Lessig, Robby Wells and Willie Nelson (not the singer) , a bunch of unknowns seeking the Democratic nomination, who reside jointly in a suite at the Trans-Allegheny Lunatic Asylum in Weston, West Virginia.

Bobby Jindal–He used to live in a home resembling the Taj Mahal, but Trump evicted him for nonpayment of rent after he gambled all his money away in the building’s casino.

Ted Cruz—Rumored to reside just outside Winnipeg.

Marco Rubio—Lives very modestly in the rear of a Cuban sandwich shop in Miami’s Little Havana.

John Kasich—Currently living in the Ohio Governor’s mansion in Columbus, but preparing to move to a mountainside cabin on Denali. when his term expires.

Lindsey Graham—Once his objective of attacking Iran to end its nuclear program is acheived, he is going to retire from the Senate, and move into the penthouse condo he has already purchased overlooking the grandest boulevard in downtown Tehran.

Considering our options, would it be possible to change the locks at 1600 Pennsylvania Ave. before January, 20, 2017?

 

UPDATE. The original version mis-stated Martin O’Malley’s first name as Michael. The text now reads as corrected.

WALKER’S HEALTH CARE PLAN—OR TO QUOTE GERTRUDE STEIN, “THERE IS NO THERE THERE.”

affordable-care-act-obamacare

Republican Presidential candidates for 2016 have one thing undeniably in common. They all pledge to repeal the Affordable Care Act (ACA) and replace it with lollipops and rainbows…er, lower premiums and lower costs and more freedom. These candidates have been asked repeatedly for specifics of their plans and sidestep the questions with more general, meaningless statements.

Well Scott Walker, Governor of Wisconsin, has finally put the pedal to the metal and produced an outline of what he proposes to do to replace the ACA.

To preface my introduction to his plan let me just assert that

  1. The Affordable Care Act is not perfect, and
  2. There are ways available to address any flaws without tearing the entire law apart, and
  3. Any fix or replacement must be based on the facts of the current situation

https://www.scottwalker.com/obamacare-plan/files/Day-One-Patient-Freedom-Plan.pdf

Here is the first paragraph of Scott Walker’s plan.

Washington’s failed approach to health care is hurting the American people. Big government created a health care system built around Washington, not hardworking families. This backwards approach drove up health care costs and reduced access to medical care for far too many of our neighbors, friends, and family members.

Each sentence is a lie.

Washington’s failed approach to health care is hurting the American people

On the contrary, the uninsured rate has dropped dramatically and there have been real positive consequences of the law.

http://www.huffingtonpost.com/2015/03/22/obamacare-5-years_n_6918326.html

Big government created a health care system built around Washington, not hardworking families.

Again false, That is the equivalent of the often made claim that the ACA was a “government takeover of health care.” And that, my friends, was the Politifact 2010 Lie Of The Year And do not dismiss Politifact as a source because Walker himself takes advantage of it in support of his ideas, which you will see.

http://www.politifact.com/truth-o-meter/article/2010/dec/16/lie-year-government-takeover-health-care/

This backwards approach drove up health care costs and reduced access to medical care for far too many of our neighbors, friends, and family members.

To this I can pretty much only respond, HUH?

More lies

The list of ObamaCare failures is long. Democrats have long promised affordability with their big-government health care plans, from HillaryCare to ObamaCare. But instead of lower costs and expanded coverage, ObamaCare has caused insurance premiums across the country to spike as the cost of Washington’s new regulations and taxes are passed to the American people. The Heritage Foundation found from 2014 to 2015, average premiums for young people increased by approximately 14 percent in Iowa and 19 percent in Ohio and Minnesota. Families in Kansas and Louisiana saw increases of almost 14 percent.[1] We will likely see even higher premium increases in 2016 and beyond as ObamaCare’s insurance company bailouts phase out. Probably the most cited ObamaCare failure, and Politifact’s 2013 ‘Lie of the Year,’ was President Obama’s repeated claim that if you liked your existing health care coverage, you could keep it.[2] So while both Obama and Hillary Clinton made promises that their health plans would allow Americans to keep their existing coverage, millions of people were pushed out of their preferred health plans and restricted access to the doctors they wanted to see.[3] ObamaCare has also punished employers with costly mandates and red tape, hurting growth and job creation. Another ObamaCare failure is the way it went about expanding coverage. Where ObamaCare expanded the number of people with coverage who previously were not insured, it did so mostly by pushing people into Medicaid, a program that was already overburdened.[4] And many of the people who received insurance through the ObamaCare exchanges had in fact been previously insured, but got knocked off their private health plans. Others switched coverage because federal subsidies only flowed if they signed up for ObamaCare’s prescriptive plans. As a result, billions of taxpayer dollars have been spent on downgraded health policies.

Let me make some points here.

  • The Heritage Foundation can find whatever premium increases it wants, but these increases have been predicted since day one of the law and, guess what, the average actual increase for premiums from 2014 to 2015 was ZERO

http://www.commonwealthfund.org/publications/blog/2014/dec/zero-inflation-nationwide-for-marketplace-premiums

Now, of course an average of zero does not mean there were no increases but that there were both increases and reductions. And the article cited notes the reasons behind the relative stability of health care premiums across the board including the benefits derived from the standardization of plans under the ACA. But other factors include geographical differences, the number of insurers in the market and other variations.

Likewise the predictions for hikes in 2016 are based on proposals not actualities. Again look to the Commonwealth Fund for guidance.

http://www.commonwealthfund.org/publications/blog/2015/jul/proposed-premium-rate-increases-for-2016

  •  “ObamaCare’s prescriptive plans”,

I am not certain what he means. All the ACA does is require health care plans to now contain prescritption drug coverage, though not necessarily for all drugs, whereas previously they did not have to.

http://thinkprogress.org/health/2013/12/10/3042741/drugs-obamacare-coverage/

  • Where ObamaCare expanded the number of people with coverage who previously were not insured, it did so mostly by pushing people into Medicaid, a program that was already overburdened.[4] And many of the people who received insurance through the ObamaCare exchanges had in fact been previously insured, but got knocked off their private health plans.

The Department of Health and Human Services reports that 11.7 million Americans signed up for coverage through the exchanges in the 2015 enrollment period ending in March and

As of March 2015 HHS reported a total of 16.4 covered due to the ACA between the Marketplace, Medicaid expansion, young adults staying on their parents plan, and other coverage provisions.

So Medicaid enrollees are nowhere near a majority of the newly insured. Even if that were so, the states that accepted the expansion of Medicaid are saving money.

http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/4/29/states-find-savings-through-medicaid-expansion

However, the states that refused to expand that program are experiencing greater costs to care for the uninsured.

Nationwide, the cost of caring for uninsured people in non-expansion states between now and 2024 is projected to reach $266 billion if no new states decide to expand Medicaid, according to a report in April from the Kaiser Family Foundation. If all states decided to expand, that cost would drop by a third.

http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/6/24/not-expanding-medicaid-can-cost-local-taxpayers

  • millions of people were pushed out of their preferred health plans and restricted access to the doctors they wanted to see.

First of all, the number of people who may have had policies cancelled appears to have been grossly overstated.

http://www.factcheck.org/2014/04/millions-lost-insurance/

But do you know the only group that specifically was mandated to lose their coverage under the ACA? No, you probably don’t, but it was Congress, together with certain staffers who were kicked out of the coverage they had had. And that coverage was simply participation in the same menu of plans available to all federal civilian employees. That is why, when Ted Cruz lost his spousal coverage when his wife left Goldman Sachs, he was forced to purchase coverage from one of the ACA exchanges. Yes, Virginia, there is a mandate for Congresscritters to participate in the exchanges. A mandate, incidentally, I believe to be both totally political and stupid.

Because I find the source, FOX News, to be amusing in this context I’ll present a viewpoint expressed there.

http://www.foxnews.com/opinion/2013/11/05/insurance-cancelled-dont-blame-obama-or-aca-blame-america-insurance-companies.html

But in an overall sense the ACA is a scapegoat for any cancelled policies. If insurance companies had enough introspection they would paraphrase Cassius

The fault lies not in the ACA, but in ourselves.

You see…and really this is not revelatory, simply a reminder…prior to the Affordable Care Act insurers could cancel policies for any damned reason or none at all. Just peruse this article from 2007 before the ACA was a gleam in Barack Obama’s eye.

http://usatoday30.usatoday.com/money/perfi/insurance/2007-01-28-insurance-1a-usat_x.htm

And private health care plans frequently change the providers they allow access to. See this look at the UPMCHighmark steel cage match in Pittsburgh.

http://www.wsj.com/articles/SB10001424052702303812904577295901619123904

Now to the essence of Walker’s plan, his five points.

1. Repeal ObamaCare in its entirety.

We heard you already, Scott!

2. Ensure affordable and accessible health insurance for everyone.

A. LOWER HEALTH INSURANCE PREMIUMS

B. PROVIDE TAX CREDITS TO ANYONE WITHOUT EMPLOYER-SPONSORED HEALTH INSURANCE

C. GIVE ALL AMERICANS MORE CHOICES AND MORE ACCESS BY IMPROVING HEALTH SAVINGS ACCOUNTS (HSAs)

D. ALLOW ALL AMERICANS TO SHOP FOR INSURANCE IN ANY STATE

E. PROTECT ALL AMERICANS WITH PRE-EXISTING CONDITIONS

Part A is a pipedream and Walker’s ideas as to how to accomplish this are nebulous and sketchy at best. And it ignores the reality that in this century health care costs and premiums for coverage have seen steady, sometimes very large increases, with and without the ACA, but the rate of growth of both has slowed since the law was enacted.

Part B, A footnote accomopanying a chart showing suggested levels of subsidies states

so there would be no intrusive oversight by the IRS and no accountant needed to determine the credit amount.

Pray tell who administers or tracks these subsidies if not the IRS. And he wants to put honest accountants out of work? I have friends who would be hurt.

Part C Here’s more on health savings accounts and pros and cons.

https://en.wikipedia.org/wiki/Health_savings_account

One note I will add is that in Part B Walker claims his simplification of subsidies will lessen IRS influence, but HSA’s appear to reuire high IRS maintenance to ensure compliance with the law.

Part D This may be the only part that has some merit in that presumably there would be more competition for the health insurance premium dollar. But the same was said about permitting banks to operated across state lines and look at what Dr. Franken-deregulate-Stein has created.

Part E The devil is in the details. And these details have a strong resemblance to Satan. For, instead of simply requiring companies to insure those with pre-existing conditions, he forces them back into high risk pools with limited coverage. No thank you.

3. Make health care more efficient, effective and accountable by empowering the states.

A. RETURN REGULATORY AUTHORITY OVER HEALTH CARE COVERAGE TO THE STATES

B. REFORM MEDICAID

In this part Walker highlights Medicaid and declares it so broken only the states can fix it. Balderdash, Run by the states eligibility reuirements are set so unfairly that many desperately poor people have no chance of becoming insured, and thus will tax resources as noted above.

For instance in the U.S someone is considered to be below poverty level if their income is no more than $11,770 for one person, $15,930 for 2 persons in a hosehold and  $20,090 for a family of 3. But states that did not opt for the Medicaid expansion do not allow eligibility for those above a certain percentage of the federal poverty level. In Alabama, it is 13% for parents and 0% for other adults.

http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/medicaid-and-chip-eligibility-levels-table.pdf

In other words In Alabama a household with 2 parents and a child, earning barely more than $2600 per YEAR means the parents cannot receive Medicaid (though the child may be eligibe for CHIP).

Think about that. Can states be trusted to take care of their own? Or only a small proportion of their own.

As to returning regulatory authority to the states, again this is a fallacy because they still exercise the majority of regulatory authority over insurance companies. Indeed, the differences between state actions in this respect are another reason why premium rates differ so greatly.

Along the way he asks that the current funding means for Medicaid, shared by the state and federal governments, remain in place with some tweaking of the formula with states getting block grants from the Feds. However, in states with no expansion, they are right now tied to the old levels of federal participation which rarely exceed 50% of Medicaid costs, whereas those falling under the Medicaid expansion get 100% paid by the feds until dropping to 90%. A much better deal than now.

4. Increase quality and choice through innovation.

A. EXPAND COVERAGE OPTIONS BY ALLOWING CONSUMERS TO POOL TOGETHER AND PURCHASE INSURANCE AS A GROUP

B. SUPPORT WELLNESS INCENTIVE PROGRAMS

C. REFORM LONG-TERM SERVICES & SUPPORTS (LTSS) PROTECTION

D. LIMIT EXCESSIVE LITIGATION THROUGH INNOVATIVE LAWSUIT REFORM

While at least A B and C have some merit on the surface, Walker’s approach is oversimplistic. As to Part A, group plans, these already are very common for members of groups like unions or fraternal organizations or even members of credit unions or those having other affinity relationships. The one basic limitation is that the persons eligible for such policies have some affiliation with each other besides the mere fact of seeking group insurance. Indeed, besides health coverage one can get auto or life insurance or pretty much any kind of insurance. Since so many Americans belong to affinity groups I would guess the extent of this type of coverage may be reliant on knowledge and desire of groups to pursue such measures.

Wellness incentives are already included in many private insurance policies. Does he want the government to mandate such coverage or merely command people to stay healthy?

Long term care coverage can be very important to individuals or even couples. But from what I can find on the topic, it does not really appear that the practice is over-regulated. In some cases there is next to no regulation. But Tax Qualified policies, because they do not tax benefits, of necessity must follow IRS regulations. Here is a good overview of such policies and practices.

https://en.wikipedia.org/wiki/Long-term_care_insurance

Part D is a complete lie. That is tort litigation is not a prime mover of medical costs. Best estimates that the total cost of the effects of medical malpractice are slightly more than 2% per year.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048809/

But what does that mean exactly? According to the study cited here perhaps 10% of the total figure  is for what is paid out in judgments and settlements, nearly $6 BILLION a year. But that money was paid out because doctors did something wrong.That was not mere generosity on the part of malpractice insurers. In addition defense attorneys cost those insurers almostt 20% of those payouts. But defense lawyers get paid no matter the outcome.

But the major thing wrong with this point is that it is based on myths, which are dispelled here.

http://www.medmalfacts.com/facts-and-myths/

For instance various sources put the number of yearly deaths due to medical mistakes at 100,000 or more. That is close to 4% of all deaths in the country. That’s an awaful lot of malpractice yet only 1 in 8 victims of such treatment files suit. So it is bogus to argue there is excess litigation when the opposite is true.

Now Walker and his cohorts will assert that excessive damages are frequently awarded, especially for pain and suffering, but this, like many opinions, depends on whose ox is getting gored. Rick Santorum has pushed for limits and still advocates the same but when his wife lost a baby and undoubtedly experienced pain and suffering, to which he testified on her behalf, she got an award over the limits he wants for everyone else. (Not being intimately knowledgeable about her case, I believe the award is nowhere near out of bounds.

http://www.washingtonpost.com/politics/santorum-pushed-to-limit-malpractice-awards-but-sought-larger-payout-for-wife/2012/01/19/gIQANXQeVQ_story.html

5. Provide financial stability for families and taxpayers.

Hey! Who can argue with that goal?

As a result, all of our citizens in poverty have gained access to health insurance through our state’s Medicaid plan, BadgerCare – a first in Wisconsin history. And our reforms are providing everyone in the state access to health insurance, according to the non-partisan Kaiser Family Foundation

Never dare The UMOC to check your claims of others’ approval. In fact, not everyone in poverty in Wisconsis has access to coverage but many of the ones who gained coverage through the Medicaid waiver links to BadgerCare must now pay premiums for that coverage (unlike regular Medicaid enrollees) and can lose eligibility for enrollment for a period if they fail to pay these premiums.

In 2012, Wisconsin received approval to apply premium payments to TMA adults above 138%FPL with a 12-month restrictive re-enrollment policy as a penalty for failure to pay premiums.  In 2012, the Wisconsin Department of Health Services (DHS) studied the effects of the increased and expanded premiums implemented on TMA individuals above 138% FPL. This study found that between July 2012, when the premium provision was implemented, and December 2012 over two thirds (69%) of the 18,544 individuals between 133% and 150% FPL had left the program. About one in five (21%) of that population lost coverage due to failure to pay within the initial six months.

http://kff.org/medicaid/fact-sheet/wisconsins-badgercare-program-and-the-aca/

Now early on in this plan Walker justifies his desire to rid the world of “Obamacare” with this statement.

It should come as no surprise that many pillars of ObamaCare can be traced to “HillaryCare,” Hillary Clinton’s 1993 health care plan. And the proposals in Hillary’s “American Health Choices Plan,” released during her 2008 presidential campaign, provide a useful link between her 1993 plan and her present-day ideas.

I smile at the irony. You can get a glimpse of Hillary’s plan here, in the assessment of the Heritage Foundation, a reliable go-to source for WAlker.

http://www.heritage.org/research/reports/1993/11/a-guide-to-the-clinton-health-plan

The Affordable Care Act does NOT resemble that at all. What it does resemble is a health care plan brewed up by that same Heritage Foundation that was introduced into the Senate in December of 1993 by 21 mostly Republican co-sponsors that also was the basis for the plan Massachusetts adopted when Mitt Romney was Governor. Now, was that 1993 plan, submitted in opposition to the Clinton plan, identical to what became the ACA? Of course not, and truth be told, it never came to a vote and other GOP Senators vehemently opposed it.

http://www.politifact.com/punditfact/statements/2013/nov/15/ellen-qualls/aca-gop-health-care-plan-1993/

The core part of both the Republicans HEART plan and the ACA was the individual mandate which, of course became such a point of contention in debate and in litigation when the law passed. Sure there were significant differences.

This article expounds on the genesis and evolution of the GOP plan.

http://www.forbes.com/sites/theapothecary/2012/02/07/the-tortuous-conservative-history-of-the-individual-mandate/

Have I been harsh on Scott Walker? Or rather on the health care plan he has submitted for public scrutiny? Oh, Geez, I surely hope so. I’m a scrutineer from way back. But this plan is deserving of all the snark and skepticism I can muster because from the get go it fails to honestly and objectively assess what impact the Affordable Care Act has had on health care after 5+ years of implementation.

I stated at the outset that the law is flawed. However, Walker chooses to evade discussion of the real flaws and instead focus his attack on the bogeymen created by Republicans and other opponents of the law, together with the same sound bites, debunked allegations, and outright lies that have characterized this eminently debatable issue since the first inklings of what the law was to be emerged in 2009.

Do I unequivocally support the entire ACA? Hell NO! While it does some great things and millions of people are reaping its benefits, at heart is still does not achieve what its main goal purports to be, and that is ensure every American has access to health care through a system of insurance.

As Bernie Sanders and others remind us to a steady drumbeat. the United States is the only major industrialized nation without universal health care.

We can argue the best means to get to that Nirvana, that paragon, but we still waste far too much time arguing if this is a desirable goal at all.

Disappointingly far too many of our politicians would sooner have us at the mercy of private enterprise…oh, yes, that institution that has never harmed one hair on our collective chinny-chin-chins. perish the thought!

All the more dejecting because a simple solution is right before our eyes.

Once more to the ramparts exclaiming…MEDICARE FOR ALL!