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>Bottom line - there's no compelling or interesting argument that ACA has led to significant improvement in U.S. health care. If UHG actually goes through with their talk on pulling out, you've got a disaster waiting.

Having just returned from a 5-day stay in the hospital I can report firsthand that some of the ACA's requirements for medical systems are having an impact.

I talked about it with the tech's and nurses and they love what they call "the reforms"- especially the nurses. Some of the MD's are grumbling and that seems to vary with age.
Hamilton, NJ is not exactly a tech epicenter, so I'm pretty sure that what I saw is bare-bones.

It's a sad commentary that our medical systems are just now beginning to work almost as well as the POS of a nickel-and-dime retailer, but at least it has begun.

Let me remind the anti-government, anti-regulation crowd that the government had to force that industry to do what was obviously beneficial and necessary for all concerned.
Decades of cajoling had gotten us nowhere.