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It will change significantly before the election. Obama is already proposing some means of passing it to the states.
As always, the concept and definition of what "Obamacare" actually is is just a free floating idea of what he wants and what congress comes up with. Remember, this is a guy who can bloviate for months and years about Obamacare but was never able to put it to paper and get it sponsored in Congress. Instead he said "I am thinking about something good and I will know it when I see it so I am going to just observe what Congress does." (same approach as the budget but I digress).
So this thing will get butchered considerably before regardless of whether he is elected or not. He would love to pass the whole things to the state with so many strings attached that it is still basically a federal program except they are stuck with more of the headaches and costs. Then he takes credit for being flexible and bipartisan.
And when he does that (happening right as we speak) then you can make a good case that Obamacare was implemented or you can make a good case that Obamacare collapsed because, again, WHO THE HELL KNOWS WHAT OBAMACARE ACTUALLY IS OTHER THAN WHAT IS GOING ON FROM ONE MONTH TO THE NEXT.
Expect mandate to go away but for some incentive program for states that have it or some quasi-block grant program that gives you more bucks based on the per cent of population covered. Expect a bunch of backdoor fiddling with medicaid to tie it in with Obamacare. Expect GI to stay and so on. Expect some incentives for holding premiums and/or costs down. Obama doesnt really give a fig what the end product looks like as long as he goes down in history as the president who implemented a national health plan or a health plan for the nation, whatever.
Obamacare will be all butchered up even before we get to the election. In some ways, the mid terms last november were more crucial to driving changes than the 2012 election, provided that the pubs dont wuss out. But they can hold the entire federal budget hostage if Obama doesn't give a pint of blood on some of this.
Unfortunately, some continue to hope that we will somehow just go back to the pre-Obama days. That is not going to happen. There is nothing going on anywhere to contain costs so we are going to stumble from one crisis to the next and live with whatever bandaid gets put on it. I guess that is how we are going to run the rest of the budget too.
The mandate that was put into Obama care was intially a republican idea back when Clinton was in. Chuck Grassley was the man who came up with the notion. Seemed like a wonderful idea to republicans when THEY considered it.
Why would we want to go back to the pre Obama days? The cost of healthcare was close to collapsing the economy after an average 13.4% rate increase per year for 10 years. What should have happened is congress and the whitehouse both democrat and republican put their personal motives aside and try to reform the system in an effective way.
Are you also a "Birther"?