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Why do many liberals think Obamacare is a success?

I felt really uncomfortable answering this question, especially since I am not American (or even European for that matter) and therefore have an opinion that is ‘irrelevant’, in addition many people I respect and admire on Quora are not going to like my take on this issue, but I have been asked to answer, so here goes….No major social program has ever been a resounding success right out of the gate.None.Lets look at some other major government programs that got off to a rocky start.The grand daddy of all government programs — the New Deal.When Roosevelt proposed raising taxes on the rich (blasphemy!) in order to finance his massive development program, he received vehement opposition from his own party, the upper business class to which Roosevelt himself belonged felt that he had betrayed them. Roosevelt was characteristically blunt when he stated that his policies would anger the few while the majority benefited(sound familiar?). Many conservatives felt that Roosevelt was infringing on personal rights, among his vocal critics was Huey Long , an amoral demagogue of a Democrat senator from Louisiana whose own ‘conservative’ manifesto sounds like a hippie wet dream (Long claimed he wanted to confiscate any personal wealth above $3 million and give it to the poor), another influential and vocal critic was Charles Coughlin , a preacher who compared Roosevelt with the devil (is there an echo in here?), and accused him of collusion with big bankers. But the New Deal went through, whatever differences the administration had with the opposition, they still proved capable enough of compromise and of finding common ground, despite its many flaws and inefficiencies, the New Deal managed to rebuild many shattered regions and lives. In the final analysis, these are good things.Another example that springs to mind is the British National Health Service, which despite its many shortcomings has played an important and central role in improving the standard of medical care and preventing treatment costs from spiraling out of control.When first proposed, the NHS bill was bitterly opposed by the Tory party (which represented the wealthy business class and aristocracy, sound familiar?…)and the national press. It was the perseverance of the Labour Party, in particular the Minister of Health Nye Bevan which allowed NHS to see the light of day. It is difficult for a Briton to imagine a life without ‘free’ healthcare today, but this state of affairs did not just ‘crystallize out of solution’. The objections that were leveled against the NHS sound eerily similar to the phrases Fox ‘news’ makes a living peddling to middle America, phrases like ‘Medical Gestapo’, ‘loss of choice’, and ‘government surveillance’ peppered the debates that went on in the Houses as both sides hammered and hewed at each other, but finally some semblance of an agreement was reached, and affordable medical care became a reality for every British citizen. Is the system perfect? No, it is riddled with inefficiencies and bureaucratic bullshit, but it did not reduce Britain to a Socialist-Communist-Fascist nightmare where people live in fear of being put on ‘can’t live’ lists.For that matter, socialized healthcare did not create death camp riddled hellholes in:CanadaScandinaviaAll of Western Europe.Want to know why universal healthcare is important?Ask the middle class parents who can afford spinal curvature correction surgery for their child only because the NHS exists.Ask the young man who was able to get his chest concavity corrected through NHS sponsored procedures, this surgery is considered cosmetic in nature, he was not eligible for insurance. In the US, this procedure costs $40000.Ask the multitudes of honest, hard working (non parasitic) middle class people who would see their life savings wiped out if someone in the family contacted cancer, or diabetes, or <insert chronic condition of you choice>. Insurance companies fight tooth and nail to prove these conditions were preexisting and thus ineligible for coverage. In any case, even if the disease doesn’t kill you, the increasing premiums will make you wish it did.It is interesting to see the kind of people who are at the forefront of trying to wreck any chances of ACA turning into a viable social program. The NHS haters have many things in common with these people….People like Sarah Palin, who signed million dollar book deals for delivering speeches and soundbites so wonderfully bizarre, NSA cryptographers are still trying to make sense out of them.‘Conservative’ luminaries like Rush Limbaugh, Rand Paul, Michelle Bachman, Ann Coulter…rational, even tempered individuals who have turned peddling hate-saturated lies into a fine art that earns them millions every year.The Republicans, who showed the rest of America and the world, exactly what American ‘conservatism’ has become all about, when they brought a supremely qualified, incredibly well informed, gifted statesman and a subtle, compassionate, nuanced and mature political operator named Donald Trump to the forefront of their presidential campaign. Who, in his bracing and refreshing honesty stated explicitly and unambiguously that being a rich white man gives him the right to grab women by the junk without their consent,(because come on, all women secretly like it, they are just playing hard to get, right?).In general, the people who most vocally oppose ACA are people who will never need it.Ditto for the Tories in Britain,who have made a concerted attempt to dismantle and weaken the NHS and finally seem to be succeeding.Obamacare will fail— it is not evil, it is not the precursor of a nightmare fascist state, it is still possible to salvage as a workable social contract in which every American contributes to the health of every other American. But it will fail, because too many political careers and too much money rides on its destruction. There is a strong vested interest in destroying this program — and it has nothing to do with protecting freedom of choice.American conservatives have made it their mission to ensure that the program is not implemented because they don’t want a dirty brown man getting the credit for it. Even though they themselves came up with the whole idea.Yup.One of the key provisions contained within the Affordable Care Act— the Individual Insurance Mandate, was developed by conservatives. Back in the early 1990s, the Heritage Foundation, a conservative think tank with strong Republican leanings, created the skeletal framework om which other provisions could be attached. Look it up. I will wait.Insurance works when plenty of healthy people subsidize the treatment of a few sick people. ACA just takes this idea to its logical extreme. Everyone contributes to the healthcare of everyone (oops! dirty, filthy socialism, kill it with fire!!!).If the administration and opposition were able to find common ground, and forge some kind of compromise, ACA could help to bring, what else, affordable health care to all Americans.The US has the highest medical treatment costs in the developed world, and no, the cost of healthcare is NOT commensurate with the quality of treatment.An unregulated insurance industry is as detrimental to the cause of good healthcare as a completely state run medical system.Let us discard the fiction that opposition to Obamacare has anything to do with a principled stance against specific policy issues.The Republicans stated explicitly that their intention was to ensure Obama would be a one term president. They failed.They have actively encouraged their base to make every kind of racist, bigoted, xenophobic attack they can muster against this man and his family, questioning his patriotism, his qualifications, his very identity as an American. The man and his family have displayed remarkable fortitude and grace in dealing with these attacks. Somehow I don’t think President Trump will set a new standard for gentlemanly, presidential behavior— no wait, he will. Of course he will.The Republicans who consider themselves the ‘party of the grown ups’ thought nothing of staging a juvenile, self-absorbed tantrum that brought the government to a screeching halt.Don’t even get me started on the ‘secession’ rubbish.ACA has many flaws, flaws that can be corrected. An unregulated ‘free market’ insurance industry is not the cure for what ails America.Never wholly trust the intentions of those who stand to make a profit from your misery.Make of it what you will.Thank you for reading.

What are the few things Indians should change, and what are the few qualities Indians must keep?

What we should KeepWe have a great sense of belonging, some might call it nationalism, patriotism etc. Keep it. Nurture it so that it helps us build our nation. But keep it to a minimum. Let it not spill over board and become out right fascism.We are proud of our Indianess. Let us not drop that identity the moment we step foot in the Gulf, Europe or America. Everyone has the freedom to dress up and behave the way they want, but lets not do them just to not appear to be Indian. Let being Indian not be a disqualification. Lets not shave off our mustaches and drop our surnames just to "fit in" with the rest of the crowd. fitting-in does not mean getting-out of India. Lets stop wearing the Arab Dishdashs just please the Arab Sponsors, Lets not bad mouth our country just to appear cool before our American bosses.India has a culture as a result of thousands of years of foreign influence. Lets keep that an on going process. Lets not stop it in the name of some political mantra to maintain some fictional notion of racial purity. We were a welcoming nation to almost every culture in the neighborhood. Our languages and traditions were enriched by that welcoming attitude. Lets keep it that way.Lets keep our farms, and fields, and our forests and our reserves. Lets not sell them off to foreign corporations, like we did a few hundred years ago to Tea companies. No, those rolling hills of tea plantations are not a sign of beauty. they tell a story of how our Kings and Landlords sold out our forest resources to foreign conglomerates. Lets not feel proud of that, Instead lets keep the remaining patches of nature alive for the next generations to sustain and enjoy.What we Should ChangeIndians should respect people from other nations for who they are. Most Indians do not know that they are extremely racists when they address people from other countries and religions by their faith or nationality. Yes people it is rude.No, all Europeans did not Colonise and plunder India. And they are not responsible for the corruption, bad governance, poverty, illiteracy and discrimination going on in India today.Indians are unconscious of the discriminatory terms in their language. Many Indians do not know that it is rude to call people with disabilities terms that are derogatory.Indians should start respecting women, and consider them as equals. Stop treating them as objects. Start liking their wonderful brown skins and stop comparing them to pale skinned Europeans. You are giving them cancer and wasting 260 Billion Rupees on skin bleaching creams every year.Indians should stop considering children as their insurance policy for old age. Start saving and book your space in a decent nursing home, your children need to have a life.India is not the only ancient surviving culture. Stop believing the bull shit and start to respect and learn about other cultures. China, Africa, Iraq, Egypt, South America all have equally rich heritages, they do not go around claiming to be the only ancient culture.Stop burping and belching in public, and wait for those passengers to get of the metro or elevator before you rush in.No, your religion and fairy tales are not unquestionable. It is as ridiculous as everyone else's. So relax when someone makes a joke, movie or draws a cartoon about your god or godmen. Lets not take every joke personally.

Do some doctors fear a universal health plan because they fear regulation or less income?

The consensus appears to be they would rather work in a Medical for All system, so they don’t have to waste crazy amounts of time arguing with Vogons.Vogons: Not actually evil, bad tempered bureaucratic officious and callous. They won’t even lift a finger to save their own grandmothers from the ravenous Bugblatter beast of Traal without orders signed in triplicate, sent in, sent back, subjected to public inquiry, lost, and recycled as fire lighters.Here’s how to hitch a ride from a Vogon: Forget it.Medical insurance company claims assessors are required to prove their Vogon heritage before commencing employment. Doctors, naturally find them rather difficult to deal with, and would rather spend more time helping patients, knowing they will be paid consistently for the services they provide with little fuss. Arguing with claims departments on behalf of patients is a very difficult part of the work of the modern American doctor, treating aggressive cancer is mild by comparison.

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