It's hard to dispute that tax cuts have resulted in recessions and the wealth gap is getting out of hand. The wealthiest Americans should be taxed more.
If we raise taxes on the wealthiest Americans, what should be done with those tax dollars? Seems to me there is a lot of waste. Personally i'd like to see more efficient use of tax dollars. California, my home for ten years seems to be struggling despite the prosperity. I'm not sure more taxes are the solution there? We need ideas, and innovation. I lived in the Marina in SF, probably one of the most expensive zip codes on the planet... the roads are falling apart. The state taxes are high, the city taxes are high, the payroll taxes are high. Something is broken.
I was happy to pay the 3% AMT tax to fund the ACA. I'm all for preventative care, much better to treat someone early for something vs. waiting until someone has no choice but to go to an ER and it's too late or significantly harder and more expensive to treat. Invest in health.
However, my health insurance cost has increased significantly every year for the past 3 years and the quality of my plan has gone from a gold plan to a silver plan and this year i'm a simple bronze plan which is more expensive then when I had a gold plan in 2018 (in NYC). All of the PPO plans have left NYC.
How are we defining the success of Obamacare? I want it to be successful but what are the KPIs? I think it will take a generation before we see the long term benefits.
It's better then what we had before but I'd argue we're not even close to where we should be. Why aren't smokers required to pay 10x more then everyone else. Shouldn't we be taxing fast food, and soda? I don't mind subsidizing roads, and education as I'm sure we all benefit from it, not so sure about health costs. Bad credit? Higher interest rate. Bad health due to life choices, should be higher insurance rate. I'm not sure why I should have to share health care costs with smokers and unhealthy individuals when I work hard and invest in my own health.
If someone is obese and doesn't exercise, should they get a heart transplant? If someone smokes should they get a lung transplant? Should the system pay for it? Should we raise taxes so a single payer system is fully funded... or maybe we should balance our health budgets first :)?
What if everyone was vegan @Chris might that solve a lot of our health problems?