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What we had before was an F. What we have now is a D+. That isn't what we want, but it is better than what we had before. Doing away with the preexisting conditions scam, not allowing caps on coverage in the fine print that brought many people to medical bankruptcy, opening up the possibility of self-employed people to obtain coverage as a 'group' rather than being at the mercy of insurers for horrible insurance at ridiculous rates, requiring insurers to spend a reasonable percentage of premiums on actually covering medical costs... those are positive steps.
The only realistic eventuality is a single payer system. As Mutt said earlier in this thread, those kinds of big changes are slow gradual moves and usually include missteps along the way unfortunately. I'd much rather have made the switch straight away, but I view this as the first step forward in what hopefully will be a worthwhile evolutionary process toward single payer basic care for all with private supplemental insurance available and cash doctors for anyone who wants to opt out.
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