A Thousand Days of Obamacare
this will not be finished in the first hundred days. Nor will it be finished in the first thousand
days, nor in the life of this Administration, nor even perhaps in the life of
this planet. But let us begin.
John Fitzgerald Kennedy (1917-1963), Inaugural Address
June 13, 2012 – Come January 2013, when a president is about to be inaugurated, Obamacare will be one thousand days old, 1013
days to be exact, good enough for government work.
As we look back from that thousand day vantage point, will Obamacare:
· be viewed as the end of the beginning or
beginning of the end of the health care law;
· be regarded
at President Obama’s signature
achievement or as a legislative monstrosity deserving to be laid to rest;
· be seen
as expanding access, improving care, and lowering cost, or the reverse, perverse, and adverse?
Answers will hinge on political events that took
place during the thousand days.
If I were to write on a book on these events, and I may, I
would divide these political happenings into four periods.
Period I, Passage of
health law in March 201o to November 2010 elections - 224 days.
Period II, November
2010 elections to June 2012 Supreme Court decision – 601 days.
Period III, Supreme
Court Decision to November 2012 elections – 129 days.
Period IV – Lame Duck Session from November 2012 elections to
January 2012 – 59 days.
The message of the book would be: Unilateral Democrat passage of the health law
against unanimous GOP opposition poisoned the political process and led to
bitter partisanship and unfortunate consequences.
consequences were- unexpected spikes in premiums, rising public oppositon,
pervasive uncertainties, obstacles to hiring, decreased access among the insured, and an unprecedented and growing physician
In my book, I would focus on what
affects Obamacare will have on physicians, why 35,000 physicians are leaving practice each
year while only 25,000 are entering, and what this physician shortfall portends for 310 million
Americans, one third of whom will be on Medicare and Medicaid, and the shrinking numbers of physicians required to serve aging Americans, insured and uninsured.
Tweet: January 2013 will mark 1000 days of Obamacare, the
legacy of which rests on partisan passage, the Supreme Court, and 2 national elections.
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