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Yes, it is true. I want the Affordable Care Act/Obamacare to be successful, and I want single-payer, improved and expanded Medicare for all for life. I can hear it now, and almost predict who will be saying it, "Oh, Donna's a single-payer sell-out.

Yes, I get it. I lived in Washington, D.C., all through the health reform debates and saw what the process did to single-payer activists. I know that the ACA is not where we need to go. I know its failings, and I know in some ways it moves us further away from the "everybody in, nobody out" kind of system we hope to achieve. I know that the health industry basically drafted the bill to be spoon fed through Congress, and I watched and worked the press side of the days when 13 people were arrested in Max Baucus' Senate Finance Committee for wanting single-payer on the table. I know, I know.
Yes, I know. An insurance purchase mandate is not in any way the same as universal health care.
Yet, as I find myself among those frustrated about not yet being able to make my way through the insurance exchanges due to technical glitches and volume, I am doing so only partly as a single-payer advocate. But I am also doing so mostly as a woman so brutalized by the market-based, profit-driven system that I am anxious to find some financial relief from the $875.97 monthly COBRA/Aetna premium I now pay for pretty substandard coverage. My deductible and co-pays are hard to manage on top of the monthly premium, and my maximum out-of-pocket exposure with this policy could bankrupt us again if the cancer tests from which I am now waiting results show I need more treatment. I admit it. I want to find on the exchange a better health insurance plan at a lower premium cost, and I want to know if I will be eligible for any tax credit or subsidy. So, yes, I want the ACA/Obamacare to be successful in providing me and millions like me some relief.
When you have cancer or some other difficult health condition, no one cuts you much slack in our society. Working class people keep working as hard and as long as they possibly can and then when we must back off a bit of strenuous work hours and demands due to health crisis and the toll that stress will take on our health status, we often must take on the COBRA costs that are so horrific that we nearly go broke paying those premiums. And if this new law, as flawed as it is for our long run, can provide me and others like me with a little breathing room to just be human and deal with human needs, then I want it to provide that relief.
This morning when I looked back in to Connect for Health Colorado (for the seventh or eighth time since Tuesday), I was pleased to make it a little bit further into the application before I was met with this message:
"Thank you for your patience while we work to fix a technical issue. Please contact us at 1-855-PLANS-4-YOU (1-855 752-6749) if you need assistance."
Well, no thank you, I will not likely be able to be too patient as I really just want the hope that once I get to January that I won't have to be so terrified and worried and that I'll have better, more affordable health insurance options. And until the day when I actually have access to a single standard of high quality care without financial barrier through improved and expanded Medicare for all for life, I will continue to grab onto those things that will help me get by well enough to keep up the good fight.
For those who are wealthy enough and well set enough not to need to rely on any other options for health care access than you have right now, forgive those of us who must and count your blessings. Just because your bank account or insurance status is better than mine does not mean you have any more courage of your convictions than I do of mine.
Dear Common Dreams reader, It’s been nearly 30 years since I co-founded Common Dreams with my late wife, Lina Newhouser. We had the radical notion that journalism should serve the public good, not corporate profits. It was clear to us from the outset what it would take to build such a project. No paid advertisements. No corporate sponsors. No millionaire publisher telling us what to think or do. Many people said we wouldn't last a year, but we proved those doubters wrong. Together with a tremendous team of journalists and dedicated staff, we built an independent media outlet free from the constraints of profits and corporate control. Our mission has always been simple: To inform. To inspire. To ignite change for the common good. Building Common Dreams was not easy. Our survival was never guaranteed. When you take on the most powerful forces—Wall Street greed, fossil fuel industry destruction, Big Tech lobbyists, and uber-rich oligarchs who have spent billions upon billions rigging the economy and democracy in their favor—the only bulwark you have is supporters who believe in your work. But here’s the urgent message from me today. It's never been this bad out there. And it's never been this hard to keep us going. At the very moment Common Dreams is most needed, the threats we face are intensifying. We need your support now more than ever. We don't accept corporate advertising and never will. We don't have a paywall because we don't think people should be blocked from critical news based on their ability to pay. Everything we do is funded by the donations of readers like you. When everyone does the little they can afford, we are strong. But if that support retreats or dries up, so do we. Will you donate now to make sure Common Dreams not only survives but thrives? —Craig Brown, Co-founder |

Yes, I get it. I lived in Washington, D.C., all through the health reform debates and saw what the process did to single-payer activists. I know that the ACA is not where we need to go. I know its failings, and I know in some ways it moves us further away from the "everybody in, nobody out" kind of system we hope to achieve. I know that the health industry basically drafted the bill to be spoon fed through Congress, and I watched and worked the press side of the days when 13 people were arrested in Max Baucus' Senate Finance Committee for wanting single-payer on the table. I know, I know.
Yes, I know. An insurance purchase mandate is not in any way the same as universal health care.
Yet, as I find myself among those frustrated about not yet being able to make my way through the insurance exchanges due to technical glitches and volume, I am doing so only partly as a single-payer advocate. But I am also doing so mostly as a woman so brutalized by the market-based, profit-driven system that I am anxious to find some financial relief from the $875.97 monthly COBRA/Aetna premium I now pay for pretty substandard coverage. My deductible and co-pays are hard to manage on top of the monthly premium, and my maximum out-of-pocket exposure with this policy could bankrupt us again if the cancer tests from which I am now waiting results show I need more treatment. I admit it. I want to find on the exchange a better health insurance plan at a lower premium cost, and I want to know if I will be eligible for any tax credit or subsidy. So, yes, I want the ACA/Obamacare to be successful in providing me and millions like me some relief.
When you have cancer or some other difficult health condition, no one cuts you much slack in our society. Working class people keep working as hard and as long as they possibly can and then when we must back off a bit of strenuous work hours and demands due to health crisis and the toll that stress will take on our health status, we often must take on the COBRA costs that are so horrific that we nearly go broke paying those premiums. And if this new law, as flawed as it is for our long run, can provide me and others like me with a little breathing room to just be human and deal with human needs, then I want it to provide that relief.
This morning when I looked back in to Connect for Health Colorado (for the seventh or eighth time since Tuesday), I was pleased to make it a little bit further into the application before I was met with this message:
"Thank you for your patience while we work to fix a technical issue. Please contact us at 1-855-PLANS-4-YOU (1-855 752-6749) if you need assistance."
Well, no thank you, I will not likely be able to be too patient as I really just want the hope that once I get to January that I won't have to be so terrified and worried and that I'll have better, more affordable health insurance options. And until the day when I actually have access to a single standard of high quality care without financial barrier through improved and expanded Medicare for all for life, I will continue to grab onto those things that will help me get by well enough to keep up the good fight.
For those who are wealthy enough and well set enough not to need to rely on any other options for health care access than you have right now, forgive those of us who must and count your blessings. Just because your bank account or insurance status is better than mine does not mean you have any more courage of your convictions than I do of mine.

Yes, I get it. I lived in Washington, D.C., all through the health reform debates and saw what the process did to single-payer activists. I know that the ACA is not where we need to go. I know its failings, and I know in some ways it moves us further away from the "everybody in, nobody out" kind of system we hope to achieve. I know that the health industry basically drafted the bill to be spoon fed through Congress, and I watched and worked the press side of the days when 13 people were arrested in Max Baucus' Senate Finance Committee for wanting single-payer on the table. I know, I know.
Yes, I know. An insurance purchase mandate is not in any way the same as universal health care.
Yet, as I find myself among those frustrated about not yet being able to make my way through the insurance exchanges due to technical glitches and volume, I am doing so only partly as a single-payer advocate. But I am also doing so mostly as a woman so brutalized by the market-based, profit-driven system that I am anxious to find some financial relief from the $875.97 monthly COBRA/Aetna premium I now pay for pretty substandard coverage. My deductible and co-pays are hard to manage on top of the monthly premium, and my maximum out-of-pocket exposure with this policy could bankrupt us again if the cancer tests from which I am now waiting results show I need more treatment. I admit it. I want to find on the exchange a better health insurance plan at a lower premium cost, and I want to know if I will be eligible for any tax credit or subsidy. So, yes, I want the ACA/Obamacare to be successful in providing me and millions like me some relief.
When you have cancer or some other difficult health condition, no one cuts you much slack in our society. Working class people keep working as hard and as long as they possibly can and then when we must back off a bit of strenuous work hours and demands due to health crisis and the toll that stress will take on our health status, we often must take on the COBRA costs that are so horrific that we nearly go broke paying those premiums. And if this new law, as flawed as it is for our long run, can provide me and others like me with a little breathing room to just be human and deal with human needs, then I want it to provide that relief.
This morning when I looked back in to Connect for Health Colorado (for the seventh or eighth time since Tuesday), I was pleased to make it a little bit further into the application before I was met with this message:
"Thank you for your patience while we work to fix a technical issue. Please contact us at 1-855-PLANS-4-YOU (1-855 752-6749) if you need assistance."
Well, no thank you, I will not likely be able to be too patient as I really just want the hope that once I get to January that I won't have to be so terrified and worried and that I'll have better, more affordable health insurance options. And until the day when I actually have access to a single standard of high quality care without financial barrier through improved and expanded Medicare for all for life, I will continue to grab onto those things that will help me get by well enough to keep up the good fight.
For those who are wealthy enough and well set enough not to need to rely on any other options for health care access than you have right now, forgive those of us who must and count your blessings. Just because your bank account or insurance status is better than mine does not mean you have any more courage of your convictions than I do of mine.