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I have serious doubts that the ACA will work as far as controlling the ever increasing cost of health care and covering the uninsured in the United States. The ACA is way too complicated and tries to preserve the outdated and overly expensive employment based system of health insurance that exists in no other country. Also too many Republican controlled states are sabotaging the implementation of the act which will result in no change in the uninsured in those states.
The author is correct as far as the Republican party's proposals for Medicare. They simply will not solve anything, but will instead create a new set of problems as the costs are shifted to the consumers who cannot afford the cost already. These GOP proposals will go nowhere and will become even more unpopular with the people if their supporters continue to push them.
My belief is that by 2017 or 2018, we will have a good idea of whether or not the ACA has achieved its objectives of reducing the increasing cost of health care and covering the uninsured. If these objectives have not been achieved across the country; I look for some form of single payer to be enacted. It will gain traction as things unfold and the ACA unravels.
I also believe that the next president will be another Democrat and that the Democratic party will be firmly in control of congress by 2017. The tea party will be either extinct or just a relic and more of a side show than a viable political movement. It would not surprise me one bit that by 2017, John Boehner, Paul Ryan, Eric Cantor and Mitch McConnell will no longer be in the congress.