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> This act is a capitalist abomination of much more well thought-out socialist single-payer plans.

It was what was possible - it barely passed as-is, and only via some technical processes that let it slip through Congress - and I think history'll show it to be a first big step towards single-payer.

> Now that health insurance companies have a state granted monopoly, there's no reason to bring prices down or change anything.

How so? Before the ACA, there were a number of insurance companies that had to compete between each other. After the ACA, there are a number of insurance companies that have to compete between each other. ACA just removed the "I won't buy any and use the ER when I get cancer" option.



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