Exactly......
There is another way to "defund" Obamacare, a tax revolt, unfortunately most of America is not up for this. They are too afraid of losing what they have or not suffering enough........yet.
This plan is supported by a somewhat unlikely coalition of self-interests, and all have contributed to its creation. Understanding what the specific interests of each of these is will help to understand what the plan is likely to lead to, short term and long term.
1. Ideological liberals with a socialist orientation: This plan does two things that are consistent with the liberal/socialist ideological mind-set; A. Redistribution of wealth, and B. Setting into motion a plan for the eventual total government takeover of medicine.
2. Power/fame/stature seeking politicians: This plan - like any plan that gives more power to the government - increases the power of politicians over the populace, and thus fulfills the needs of the glut of narcissists that now populate public office in the US.
3. A segment of large corporations: There is most definitely a segment of the business community that wants government-run health care. They want to be off the hook, and to rid themselves of employee health plans. There’s no question about this. Yes, they know that a government-run plan would require increased taxes, but they figure these taxes will be passed on to the tax-paying citizenry, and they’ll figure out a way to avoid them when the time comes.
4. Insurance companies: Insurance companies know that increased government involvement in health care is not in their best interests, and they know that the goal is the eventual total government takeover of medicine, but they are looking for a short to medium term outcome that is in their best interest. Eventually, they can turn their business plan toward other insurable markets and get out of health care entirely if it become unprofitable - or if the government takes over health care. Over the short-term, however, Obamacare promises to provide them with a large number of increased participants - many in demographics that are relatively low risk (e.g. the young), and thus could actually increase their near-term enrollments and profits. They also know that to not play ball at all would have been risky for them in the political climate that was in place when Obama took office.
5. Hospital corporations: At least for the short to medium term, hospital corporations are sitting pretty. Hospitals are paid at a higher rate for tests and imaging studies than are private physician-run offices and facilities, and many aspects of ‘medical reform’ (e.g. electronic medical record systems) have made it difficult for private groups to remain in business. Hospital corporations/systems have been buying physician practices - thus eradicating the private practice model, putting all physicians at the mercy of the hospital corporation, eradicating competition, and centralizing control of care to a group of extremely well-paid hospital executives. These people, whose ranks include many who make seven figure salaries, also know that eventually the government piper will come for them, but over the short to medium term they are sitting pretty.
There are others who are part of this ‘coalition’, but this is a decent starting point to think about.