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ChristianKl comments on Non-standard politics - Less Wrong Discussion
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Well the current system has an over 100% marginal cliff in some places.
MedicAid is only available to people who are unemployed. Seeing that everyone who isn't unemployed is still insured was an important part of Obamacare. YOu see how the GOP reacted.
While certain people in the GOP don't like 100% marginal cliffs I don't think they are willing to not put pressure n people to get jobs as it currently stands to get rid of those cliffs.
If you had instead eliminated Medicaid entirely and given everyone a basic income that includes enough money to buy insurance you would have gotten more GOP support.
I've paid a lot of attention to the debate on Obamacare, I don't think I've heard that argument made once.
People in the US generally don't care that much about the poor so nobody frames the argument that way.
On the other hand that there are people who don't get medicare because they work and who can't easily insure themselves was surely part of the debate. Whether or not people use it as a talking point also doesn't matter that much to the practical results of policy.
If the proposal simply would have been Medicaid for everyone, likely more people would have made the argument.