The Obamacare We Deserve
By Michael Moore /

Today marks the beginning of health care coverage under the Affordable Care Act’s new insurance exchanges, for which two million Americans have signed up.

Now that the individual mandate is officially here, let me begin with an admission: Obamacare is awful.

That is the dirty little secret many liberals have avoided saying out loud for fear of aiding the president’s enemies, at a time when the ideal of universal health care needed all the support it could get. Unfortunately, this meant that instead of blaming companies like Novartis, which charges leukemia patients $90,000 annually for the drug Gleevec, or health insurance chief executives like Stephen Hemsley of UnitedHealth Group, who made nearly $102 million in 2009, for the sky-high price of American health care, the president’s Democratic supporters bought into the myth that it was all those people going to get free colonoscopies and chemotherapy for the fun of it.

I believe Obamacare’s rocky start — clueless planning, a lousy website, insurance companies raising rates, and the president’s telling people they could keep their coverage when, in fact, not all could — is a result of one fatal flaw: The Affordable Care Act is a pro-insurance-industry plan implemented by a president who knew in his heart that a single-payer, Medicare-for-all model was the true way to go. When right-wing critics “expose” the fact that President Obama endorsed a single-payer system before 2004, they’re actually telling the truth.

What we now call Obamacare was conceived at the Heritage Foundation, a conservative think tank, and birthed in Massachusetts by Mitt Romney, then the governor. The president took Romneycare, a program designed to keep the private insurance industry intact, and just improved some of its provisions. In effect, the president was simply trying to put lipstick on the dog in the carrier on top of Mitt Romney’s car. And we knew it.

By 2017, we will be funneling over $100 billion annually to private insurance companies. You can be sure they’ll use some of that to try to privatize Medicare.

For many people, the “affordable” part of the Affordable Care Act risks being a cruel joke. The cheapest plan available to a 60-year-old couple making $65,000 a year in Hartford, Conn., will cost $11,800 in annual premiums. And their deductible will be $12,600. If both become seriously ill, they might have to pay almost $25,000 in a single year. (Pre-Obamacare, they could have bought insurance that was cheaper but much worse, potentially with unlimited out-of-pocket costs.)

And yet — I would be remiss if I didn’t say this — Obamacare is a godsend. My friend Donna Smith, who was forced to move into her daughter’s spare room at age 52 because health problems bankrupted her and her husband, Larry, now has cancer again. As she undergoes treatment, at least she won’t be in terror of losing coverage and becoming uninsurable. Under Obamacare, her premium has been cut in half, to $456 per month.

Let’s not take a victory lap yet, but build on what there is to get what we deserve: universal quality health care.

Those who live in red states need the benefit of Medicaid expansion. It may have seemed like smart politics in the short term for Republican governors to grab the opportunity offered by the Supreme Court rulings that made Medicaid expansion optional for states, but it was long-term stupid: If those 20 states hold out, they will eventually lose an estimated total of $20 billion in federal funds per year — money that would be going to hospitals and treatment.

In blue states, let’s lobby for a public option on the insurance exchange — a health plan run by the state government, rather than a private insurer. In Massachusetts, State Senator James B. Eldridge is trying to pass a law that would set one up. Some counties in California are also trying it. Montana came up with another creative solution. Gov. Brian Schweitzer, a Democrat who just completed two terms, set up several health clinics to treat state workers, with no co-pays and no deductibles. The doctors there are salaried employees of the state of Montana; their only goal is their patients’ health. (If this sounds too much like big government to you, you might like to know that Google, Cisco and Pepsi do exactly the same.)

All eyes are on Vermont’s plan for a single-payer system, starting in 2017. If it flies, it will change everything, with many states sure to follow suit by setting up their own versions. That’s why corporate money will soon flood into Vermont to crush it. The legislators who’ll go to the mat for this will need all the support they can get: If you live east of the Mississippi, look up the bus schedule to Montpelier.

So let’s get started. Obamacare can’t be fixed by its namesake. It’s up to us to make it happen.

© 2013 Michael Moore

Michael Moore

Michael Moore is an activist, author, and filmmaker.  See more of his work at his website

4.0 ·
What's Next
Trending Today
F*ck That: A Guided Meditation for the Realities of Today's World
2 min · 9,703 views today · Just acknowledge that all that sh*t is f*cking b*llshit — you're here now, in this place, with your inner stillness. Take in a deep breath ... now breathe out. Just feel the...
Inside the Invisible Government: John Pilger on War, Propaganda, Clinton and Trump
John Pilger · 8,588 views today · The American journalist, Edward Bernays, is often described as the man who invented modern propaganda. The nephew of Sigmund Freud, the pioneer of psycho-analysis, it was...
Free Trade Explained In An Excellent Comic
Michael Goodwin, Illustrated by Dan E. Burr · 6,416 views today · The Trans-Pacific Partnership (TPP), Transatlantic Trade and Investment Partnership (TTIP) and Comprehensive Economic and Trade Agreement (CETA) are the latest in a long line...
Your Lifestyle Has Already Been Designed (The Real Reason For The Forty-Hour Workweek)
David Cain · 5,044 views today · Well I’m in the working world again. I’ve found myself a well-paying gig in the engineering industry, and life finally feels like it’s returning to normal after my nine months...
Noam Chomsky Has 'Never Seen Anything Like This'
Chris Hedges · 4,543 views today · Noam Chomsky is America’s greatest intellectual. His massive body of work, which includes nearly 100 books, has for decades deflated and exposed the lies of the power elite...
Democracy in the Digital Era
Birgitta Jonsdottir · 4,543 views today · Our current democratic models are crumbling and outdated. We need to make something more real and meaningful. Activist and politician Birgitta Jónsdóttir points to how it might...
Open Up - Have the Difficult But Important Conversations With Loved Ones
5 min · 3,035 views today · “The biggest casualty of humanity is the lack of communication, it’s the thing that breaks most relationships. It just feels so much better to talk and get it out.” There is...
Who I'm Voting For...
3 min · 2,817 views today · Prince Ea announces who he's voting for. It's probably not who you think.
Today I Rise: This Beautiful Short Film Is Like a Love Poem For Your Heart and Soul
4 min · 2,788 views today · "The world is missing what I am ready to give: My Wisdom, My Sweetness, My Love and My hunger for Peace." "Where are you? Where are you, little girl with broken wings but full...
Maya Angelou: And Still I Rise
3 min · 1,682 views today · In addition to her well-known autobiographies, Maya Angelou has steadily written poetry over the years. In this video Professor Angelou recites her poem, "And Still I Rise,"...
What Makes Call-Out Culture So Toxic
Asam Ahmad · 1,437 views today · Call-out culture refers to the tendency among progressives, radicals, activists, and community organizers to publicly name instances or patterns of oppressive behaviour and...
Dinosaur explains Trump policies better than Trump!
8 min · 967 views today · Donald Trump is actually the corporate triceratops, Mr. Richfield, from the 90's TV show sitcom, "Dinosaurs". 
25 Mind-Twisting Optical Illusion Paintings by Rob Gonsalves
Dovas · 895 views today · The beautiful and mind-bending illusions in Canadian artist Robert Gonsalves’ paintings have a fun way of twisting your perception and causing you to question what in his...
'Maritime Graveyard': 2016 Deadliest Year Ever for Refugees Crossing Mediterranean
Deirdre Fulton · 743 views today · "From one death for every 269 arrivals last year, in 2016 the likelihood of dying has spiraled to one in 88," says UNHCR spokesman
Forget Shorter Showers: Why Personal Change Does Not Equal Political Change (2015)
11 min · 736 views today · Would any sane person think dumpster diving would have stopped Hitler, or that composting would have ended slavery or brought about the eight-hour workday; or that chopping...
#Hypernormalisation - Why Heathrow Plan Is Proof We Exist in a Catastrophic Fantasyland
Matthew Adams · 716 views today · The British government recently gave the green light for Heathrow airport’s third runway. It was heralded by its supporters as a vital boost for jobs and growth – and proof...
John Lennon's "Imagine," Made Into a Comic Strip
John Lennon. Art by Pablo Stanley · 709 views today · This is easily the best comic strip ever made.  Pabl
The Empire Vs. The People - Police Attack and Arrest Peaceful Protestors at the Dakota Access Pipeline
6 min · 550 views today · On October 22, just before dawn, hundreds of people, including many families, gathered and prepared to march toward the Dakota Access pipeline construction site near Standing...
The White Man in That Photo
Riccardo Gazzaniga · 433 views today · Sometimes photographs deceive. Take this one, for example. It represents John Carlos and Tommie Smith’s rebellious gesture the day they won medals for the 200 meters at the...
Ode to Lesvos
5 min · 409 views today · An inspiring story of a few remarkable heroes on the Island of Lesvos who helped almost half a million refugees in 2015 has been documented in a new short film called Ode to...
Load More
Like us on Facebook?
The Obamacare We Deserve