1. It's a Trap
Democrats passed the Affordable Care Act on their own in 2010, and they know it has been an albatross around their necks ever since. It painted huge targets on them. The elections in 2010 and 2014 are clear evidence of this, as was their silence on their “signature domestic achievement” during 2012.
Their easiest and safest response to ACA opposition has been to ask “With what would you replace ACA?” It's a simple divide and conquer strategy.
Two things can happen with a focus on replacement: (1) Too many proposals pop up, ACA opposition unity becomes dispersed, and Democrats try to run out the clock on ACA being a hot issue. (2) Republicans indeed compile an alternative, it becomes the target instead, and ACA replacement unity is still not as strong as it would be for pursuing outright repeal.
Either way, if Democrats can get and keep Republicans' focus off of the problem and on to their distraction, the law stands.
2. Cancer does not need a replacement
The Affordable Care Act is not just an inferior law or bad policy on which we can supposedly improve. It is an actively corrosive agent in the health care system. It is a cancer eating away at what has been the crown jewel, not just of the United States, but of the world in terms of providing true quality medical care.
The flawed fundamental premise of ACA is one of providing care to populations instead of individuals. The same level of care must be available to everyone at any time, no matter the level of need. For the sake of “a woman no longer being a preexisting condition,” regulations promulgated as a result of the law now require covering maternity services for retired men.
ACA implements a political ideology that creates all kinds of unnatural pressures based on political ideology instead of reality-based exchange of services for real needs. The excessive and unnecessary additional work loads on our medical professionals and clinicians take their toll, and the damage continues.
ACA also vastly increases the risk of political corruption.
- ► 2013 (20)