There can be no doubt that the ACA as it is written today is a lukewarm compromise..an imperfect legislation that was the best Congress and the Obama administration could compromise on. Many on the left dislike it because it doesn't go far enough towards the universal, single payer health care systems that most other industrialized nations enjoy. Many on the right dislike it because they view it as government takeover of health care ( not even close) and they view the mandate penalty as a tax (it is..but so what?) or because essentially they dislike Obama.
While many of the ACA's more positive attributes have been slowly rolled out over the past couple of years..the most recent rollout of the enrollment process has left much to be desired. In addition to that...there are instances where reality is not living up to the rhetoric. ( such as "you can keep your health plan if you like it").
Another ironic but unintentional consequence of ACA is the adverse reaction it is going to have on Massachusetts consumers and businesses. I say ironic because the successful health care model that has been in place since 2007 has been held up as an example by the Obama administration to bolster the ACA. Yet..this very successful MA model stands to be penalized by the ACA . The market rating guidelines contained in ACA will have an adverse effect on rates for almost half of Massachusetts residents.
There is strong bipartisan agreement on the state level that given the success of its health care model...MA should be exempt from these rating guidelines. Gov. Patrick as requested a waiver twice..and twice has been turned down..receiving only a 3 year transitional waiver. This is counter to what we heard from President Obama...who assured that waivers would be granted for states who had successful models that worked for them.