By AM Golden
[I’m grateful to AM Golden’s guest post for many reasons, among them the chance to revisit (above) the moment when the late Senator John McCain‘cast a petty and unethical vote to save the Affordable Care Act, which he had opposed, from repeal just to spite Donald Trump. I am also glad, I guess, to have AM remind us of the decietful manner in which it was passed, with Democrats insisting that the ACA was not a tax, then later defending it before the Supreme Court on the grounds that it was a tax. JM]
One of the government expenditures I’d like to see looked into by DOGE is the cost and usefulness of the Affordable Care Act, particularly the tax subsidy
Full disclosure: I work for a nationwide health insurance company.
Not long ago, I commented how taxpayers are often gouged when the government spends our money. We’ve seen inflated prices by government contractors. We’ve read about the massive fraud perpetuated by those who got loans during the Pandemic to allegedly keep their businesses afloat. I suggested in that earlier comment that the availability of student loans has doubtlessly caused tuition rates to rise. The temptation of bottomless coffers of cash is hard to resist. I suspect it has resulted in higher costs for medical care submitted through Medicare/Medicaid. I noted then that government-paid health care would cause medical costs to go even higher.
It isn’t that U.S. citizens aren’t sympathetic to people who are sick, especially to those severely injured in accidents through no fault of their own or born with congenital conditions. In the 1990’s, government regulations established, among other things, requirements that health insurance carriers offer two of their most popular plans as Guaranteed Issue plans for those who could not get insurance elsewhere. These plans were expensive, but they put the onus for paying on the policyholder and not the taxpayer. It was a step, but, like other attempts at helping sick people get coverage, it didn’t address the cost of medical care.
And neither would the next attempt.








