It will be truly nasty for the next President. All of this shit is going to blow up hard, even worse than 2007 was. With any luck, it will blow up during Trump's final months, but in the truly worst case it will collapse during the early time of whoever the next President is, which means no matter who gets the job will get smoked in the 2030 midterms - in turn ending up like Obama who didn't have a majority of his own for six years (or, in the even worse case, end up like Biden who didn't survive the reelection against someone as unlikeable as Trump).
Plus, president's don't usually have more than two years of majority.
The fact that it was this big and this hard to get and with this many compromises against consumer interest, speaks more of the disfunction of the USA government at the time then it does about the value of that legislation.
This fight not about the dysfunction of the USA government at the time, it's about a fight over the structure of the USA as it was founded. There have always been strong political forces trying to dismantle all "common sense" features of the welfare state, who have convinced the masses to vote against their own interests out of the American Dream of rugged individualism.
This is in contrast to the unique decentralized communitarian history of America with community activism, charities, NGOs and nonprofits filling the social holes between the government and private enterprise. The current healthcare system evolved out of this, and gradually received more patchwork of private and government involvement (Medicare/medicaid, and the ACA) which why it's an expensive mess. Most European countries post WW2 had a chance to design something more efficient and didn't centralized insurance as a threat to liberty.
But in essence the most revolutionary part of the ACA was regulating how health insurance companies sell insurance to their costumers, i.e. consumer protection. There were other aspects of the ACA, like subsidies to low income families etc. which weren’t consumer protection, but the regulations about how insurance is priced and sold most definitely were. And these regulations were very basic and common sense kind for any consumer products, stuff like don’t abuse your customer’s health situation with personalized premiums etc.
I say that this should not be a consumer market because private health insurance are inherently consumer hostile, and cannot be sold on the consumer markets without hurting the customers with unfair charges, etc.
Which recent administration cut federal spending?
...and I don't have anything against cutting spending. In fact, actually think Reagan did the right thing in using this tool as well as deregulation to end stagflation. But it seems like cutting & spending should be based on the situation and for 2008, spending seemed the right course of action.
Rubinomics under Clinton was lower interest rates and spending cuts/deficit reduction.
Yeah, you're right. Much better to have Trump who just passed tax cuts for billionaires and corporations, imposed tariffs on Penguins and pardoned a bunch of people, some of whom he said he didn't even know.
> The world would've been very different with say, Bernie Sanders as president in 2016.
Undoubtedly, US and probably the world would likely have been a better place if that had happened.
Unfortunately, at present in the United States, the choices om offer(at least at a national level) are either neo liberalism with a woke 1.0 add on, or full on MAGA. The latter part is likely going to swing back to neocon territory by 2028 though.
That will be an... interesting transition. They're kind of between a rock and a hard place; they clearly have to ditch the MAGA thing, because it's electoral poison, as we've just seen. But also the die-hard Trumpists are still a big part of their base, and won't like that.