Friday, June 29, 2012

Now What?!

So, the SCOTUS has made its considered decision - a split decision like most expected. However, many seemed to think that the Supreme Court would overturn the legislation. Practically though, there was really no way to stop what had already been put into motion. I believe this to be the great benefit of the ACA - not that it is good legislation (it's not) but that it got many folks moving and creating. If you look around now three years later, look at some of the innovation that is being developed in response to parts of the bill. The big question remains...now what?! The cost to fund the ACA is enormous and the relative benefits of many parts are unclear. The SCOTUS left open the possibility for States to not expand Medicaid, thus to not necessarily take care of all those who desperately need care. It is quite likely, however, given human nature that the States will opt for Federal dollars to help their systems. Will we finally have a floor where no one is without coverage? What will "the powers that be" do? Will they honor their better natures and the spirit of the legislation and find new and inventive ways to distribute the wealth and the health? Hard to know - easy to be cynical about human nature and about the political process. Maybe, just maybe, we have the ability to overcome ourselves and make the right decisions. Time for everyone to get involved and advocate for better health care for all. SCOTUS has cleared the way - now what - now it's time for us. Peace for the journey, Dan

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