When was this exactly? The last time democrats controlled presidency and both houses was during Obama's first term and they passed the most historic overhaul of healthcare in this country, which was a huge win for women's healthcare.
The democrat party is not progressive. If they ever have 60 seats in the senate they will fracture and argue with the progressives elements. Most of the democrat party’s constituents are conservative, religious. Most of the minorities they take for granted are not onboard with nonbinary identities, or anything to do with fetus elimination. They just are afraid of republicans for one reason or another.
Was it? From a foreign perspective it doesn't seem to have changed the conversation around US healthcare at all.
To give you some context: every country is different here but usually we have an almost free healthcare system covering everything for everybody (but sometimes you have to wait for a long time) and private healthcare that is more expensive, usually faster but not necessarily better.
Here in the UK my wife and I have between us spent a fair bit on private medical care over the last year - in the case of my wife for cataract operation on both eyes and in my case dental implants and related procedures.
What I find amusing about private health care in the UK is that in each case I have ever used it they make it clear that if something goes seriously wrong they will take you to an NHS hospital.
Privatize the winnings, socialize the losses, the "free market" working as intended.
The part where we don't have the free healthcare system is mostly due to politicians being afraid of socialism or being afraid of raising taxes or both and a very strong medical lobby that doesn't want the salaries of doctors (very high over here) to drop.
The comment you're responding to was alluding to if people could choose to not pay for health insurance until after they got injured or sick and then needed the benefits.
This was huge because if you ever lost insurance and got new insurance (switched jobs) then you were often screwed.
ACA defined essential benefits. Before ACA insurance usually didn't cover things mental healthcare. Required coverage of preventative care/screenings/reproductive care for women.
Annual and lifetime coverage limits were banned. Your health insurance could no longer drop you because you got an expensive to treat cancer.
The amount of desperately needed consumer protections ACA added were immense.
Sure there are problems with ACA, especially the marketplace part of it, but overall it was a big change to healthcare in the US.
That’s putting it mildly. Sure, the ACA was, in many respects, a big improvement over what came before it. But it’s still outrageously broken. Let’s consider the perspective of a person who wants health insurance:
1. You mostly want to be insured via your employer, and you mostly get screwed if you leave your job. The financial disincentives to insuring yourself are huge unless you qualify for the subsidies.
2. For some bizarre reason, you can use only buy insurance at some times of the year.
3. You more or less have to buy insurance through a website that is massively and incomprehensibly bad. Want to figure out what that insurance covers? It’s sort of doable, but it sure isn’t easy.
4. Whether or not you will get to fill a given prescription still seems arbitrary and vaguely malicious.
5. The whole system rubs the insane list prices of healthcare in your face, almost continuously. For drugs, even small amounts of Internet searching points out how much cheaper they are basically anywhere else.
It’s really hard to be excited about the ACA.
(For added fun, and this isn’t really the ACA’s fault but it sure is a failure of affordability and sure seems like a massive failure of government: check out hims.com. Pulling a random example, “generic for Cialis” is at least 3x the price on hims.com as it is via GoodRx.)
Wheter it's a good idea to do this via private for-profit insurance and healthcare is another question. I prefer to just pay it via taxes.
https://www.healthcare.gov/glossary/high-deductible-health-p...
I’m not saying that the ACA was a bad law. I’m saying that a not-no-nerdy voter contemplating whether ACA is a great achievement of the Democratic Party is likely to be unimpressed.
While your complains are all true and the ACA is a mess compared to any developed country, it is still very exciting to have the ACA. For anyone who was barred from getting insurance before, it is the lifesaver, literally.
Compared to other countries, ACA isn't very good (to put it mildly) but compared to how the US was before it, it is the most wonderful improvement ever.
You can use a broker (free to you) and get the same (regulated) plans. If your situation is at all complicated you should definitely use one. Probably even for “simple “ cases.
Edited original comment to be more productive.
They could pass a national law that protects a right to travel to other states for an abortion if your state bans them.
This is why America's supreme court is so important: One can argue that most federal level changes in the last 8 years cane from the court just changing their mind on what used to be settled precedent.
I don't exactly know how much of national politics is optimizing for fundraising rather than for making citizens' lives better, but it's clearly far too great.
The reality is that:
1. Abortion has always been one of the most divisive topics in the US
2. Roe vs. Wade to begin with was a very shaky legal hodgepodge based around right to privacy
3. Codifying something like that takes immense political might and public approval neither of which existed in a significant capacity
60+% majorities have supported abortion as a right until near the end of the second trimester, and for the health of the mother after that (for 30+ years).
https://news.gallup.com/poll/321143/americans-stand-abortion....
Campaigns should be publicly funded and not be raising collosal amounts of money. Either side will get tons of free tv space on popular shows and podcasts to get the word out, why does a candidate need to raise billions of dollars? Totally messed up
> "the first thing I’d do as president is sign the Freedom of Choice Act"
https://www.reuters.com/article/markets/us/obama-says-aborti...
> "I would like to reduce the number of unwanted pregnancies that result in women feeling compelled to get an abortion, or at least considering getting an abortion, particularly if we can reduce the number of teen pregnancies," Obama said.
That said, there were very few moments, where a given party had house, senate and presidency at the same time. And most of those moments were divided almost evenly in half so breaking ranks had a big effect.
I think what I am saying it is a tired talking point.
The 111th Congress was the only time in the last 20 years Democrats had a filibuster-proof trifecta and that was for 72 days. [1]
That was the government that gave us the Affordable Care Act aka Obamacare.
The other Democrat trifecta was the 117th Congress[2] but if you look that's only with independents in the Senate that caucused with Democrats. Obviously also not filibuster proof.
That's the government that gave us the CHIPS act.
Think about how often parties are in power and they can't even fill appointed positions because of partisan opposition during confirmation, let alone pass legislation.
[1] https://en.wikipedia.org/wiki/111th_United_States_Congress
[2] https://en.wikipedia.org/wiki/117th_United_States_Congress
Aka Romneycare, originally put forth by the Heritage Foundation. If that's the best Democrats can do, no wonder people aren't too optimistic about them.
And its passage has helped millions, people I know personally and probably people you know personally. Maybe anyone who'd ever heard the phrase "pre-existing condition" before. It's one of the single most effective and widely beneficial government efforts in our lifetimes.
It's not that fact that Democrats did it by taking the best parts of an opposition party policy isn't impressive, it's that the unseriousness of Republicans when it comes to their own ostensible policy ideas is depressive.
https://web.archive.org/web/20211027180129/https://www.nytim...
The public health insurance option, also known as the public insurance option or the public option, is a proposal to create a government-run health insurance agency that would compete with other private health insurance companies within the United States. The public option is not the same as publicly funded health care, but was proposed as an alternative health insurance plan offered by the government. The public option was initially proposed for the Patient Protection and Affordable Care Act, but was removed after the independent US senator for Connecticut Joe Lieberman threatened a filibuster.
As a result, Congress did not include the public option in the bill passed under reconciliation. The public option was later supported by Hillary Clinton and the Democratic Party in the 2016 and 2020 elections and multiple other Democratic candidates, including the current President, Joe Biden.
https://en.wikipedia.org/wiki/Public_health_insurance_option
Well there's your problem. The GOP knows that you need to sidestep those kind of tedious anachronisms in order to wield power effectively and get what you want. The Dems needed to learn that lesson several administrations ago.
> They did nothing to help with Women's healthcare.
> keep abortion legal
Further, the democrats have been in power for 12/16 years, and multiple years controlling all 3 houses. They did nothing to help with Women's healthcare. I have followed the issue closely, and I still don't understand what they Dems were going to do to keep abortion legal. If it's a state issue, how would the President change anything ? If it's national issue, why haven't they already done anything ?