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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.
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>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.
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>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.

In all seriousness, that could have been done with targeted legislation (and some of the more sensible Rs have proposed targeted laws). It wasn't necessary to implement huge sprawling statutes for that.

I continue to be utterly surprised that people who work in an industry such as ours - featuring themes that resonate with decoupled architectures - aren't recognizing the problems with the fundamental highly coupled (and flawed) architecture of ACA.