this post was submitted on 05 Nov 2024
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If Trump wins, expect it to be much, much worse. The ACA/Obamacare guarantees that certain things must be covered, that you can't be denied covered based on pre-existing conditions, and that you can't be charged more due to age, gender, etc. It also gives subsidies to people that are buying their own covered on the marketplace, which was set up by the federal gov't.
Under Trump, expect all of that to be tossed out. If Trump wins, it's highly likely that Republicans with flip the Senate, and retain control of the House, which means Republicans will have all three branches of the federal government captured, and there will be no brakes to repealing the ACA and going back to the old, much shittier system.
If Harris wins, don't expect to see many changes. If she wins, it's unlikely that Democrats would also have control of both the House and Senate. While it's true that she was in favor of a single-payer system five years ago, it's unlikely that she would be able to get that through the House and Senate unless they were both controlled by a Democratic majority. (In the case of the Senate, they would need to nuke the filibuster, which--IMO--is not a good idea in the long run).
Let’s take politics out of the discussion since it is clear that even after years neither party did anything remarkable about fixing the broken healthcare system. I believe the people need to take these matters in their hands, otherwise nothing will change. So what do you as a person living in the US think that we can do to fix/improve the situtation?
Since the ACA was passed, Democrats have not held all three branches of the gov't. (In fact, Mitch McConnell refused to take up Obama's nomination of a SCOTUS justice because he thought that eight months was too close to the election. Or, that was his claim.) They haven't had any opportunities to make significant reforms to the ACA--or pass something better--because they haven't had the power to do so. Republicans came close to overturning it, but blew their chances in 2018. So, to be more accurate, the party that wants to fix healthcare has not had the political ability to do so.
Short of a political change, there is no way to change the system.