Health care in the US is a mess because of its dependence on an employer-based insurance model and the adamant opposition of the health care providers (insurance companies, hospitals, doctors, and other providers) against a national single payer system that would streamline the system and cut costs. Since all those interests lobby heavily against any changes and are willing to pour money into politicians’ campaigns, what results is a tinkering of the system in order to smooth out some of the roughest features. Obamacare was one such effort and the latest legislation that is due to be passed later this week known as the Inflation Reduction Act also makes some progress.
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