ACA be­ing dis­man­tled one court rul­ing at a time

Modern Healthcare - - COMMENT -

Re­gard­ing “D.C. ap­peals court strikes down ACA in­sur­ance sub­si­dies for fed­eral ex­changes” (ModernHealth­care.com, July 22), I guess Nancy Pelosi is vin­di­cated for say­ing that, “We have to pass the bill so you can find out what is in it—away from the fog of the con­tro­versy.”

The prob­lem with com­pre­hen­sive laws of any na­ture (the ACA leg­is­la­tion was more than 2,000 pages long), is that there are bound to be things that would have been bet­ter left out of the bill. This is one of the parts that turns out to be il­le­gal. Fur­ther, many of the most egre­gious and oner­ous de­mands on the pop­u­la­tion haven’t yet fully kicked in, so there are other ag­grieved par­ties with stand­ing ready to sue.

The Hobby Lobby case, and now this one, are tear­ing the law to shreds, one ag­grieved party at a time.

If the goal is catch­ing a mouse, this law is like the game Mouse Trap, where sev­eral dozen pieces of elab­o­rate and pre­car­i­ously bal­anced ap­pa­ra­tus must all work per­fectly well, and if you are lucky, the mouse gets caught. If even one of the in­ter­re­lated pieces is found un­law­ful, the en­tire con­trap­tion be­comes worth­less. Whereas a sim­ple mouse­trap with only two mov­ing parts (the spring and the re­lease) works pretty much ev­ery time.

Rube Gold­berg would be proud of the Pa­tient Pro­tec­tion and Af­ford­able Care Act, if only it worked as ad­ver­tised.

Lawrence Jankowski

Morton Grove, Ill.

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