'Obamacare' dragging down president

 
US President Barack Obama speaks on healthcare at Faneuil Hall in Boston, Massachusetts, 30 October 2013 "Affordable" healthcare is the goal - but will that be Barack Obama's legacy?

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President Obama's signature achievement, the Affordable Care Act, is causing him massive political trouble.

His latest ratings are his worst ever - one poll suggests 52% of Americans say they don't trust him.

Democrats from Congress, in what's been described as a heated meeting at the White House, have demanded change.

And Bill Clinton has weighed in, suggesting the law needs to be altered.

This is significant. It is one thing if your enemies attack you. If your allies join in because they are frightened it will damage them and their cause, it is quite another.

Spinning the numbers

And now the dysfunctional website has only managed to sign up 27,000 people.

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In bending over backwards to avoid a government scheme, in order to offer as much free market choice as possible, the administration has come up with something that feels pretty messy”

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The Obama administration is putting a brave face, and a strong spin, on the latest figures on the law, commonly known as Obamacare, in action.

More than 106,000 Americans have signed up for insurance coverage. That's a lot better than the 50,000 that "administration officials" predicted earlier this week. It is a lot worse than the half a million they predicted at the beginning of the process.

Health Secretary Kathleen Sebelius is naturally putting a positive gloss on these numbers, saying the report shows the numbers will grow and Obamacare is working.

The department says the website should be working properly by the end of the month and its error rate is down to 1%.

The president has to hope that this is the case and these early bumps are soon forgotten.

I am not sure that this is so.

Clinton's 2016 pivot

I went on Maryland's insurance marketplace website recently and it worked just fine - but the options on offer are complex and, to me at least, bewildering.

If I was doing it in earnest I would have to take a full day at least to make sense of it.

Residents of Kentucky, one of the unhealthiest states in America, talk to the BBC about their hopes and concerns about Obamacare

I felt a bit better after talking to a well-known historian, hugely intelligent. He too was pretty baffled by the options on offer. Luckily his wife has worked in healthcare administration all her life and she just about got it.

You know that American coffee shop experience?

When you think you have told them what you want and grown weary of picking the sort of milk, the size, the flavour and just wish they would give you the blessed coffee? It is a bit like that, to the power of 100.

In bending over backwards to avoid a government scheme, in order to offer as much free market choice as possible, the administration has come up with something that feels pretty messy.

There is little doubt that Obamacare will be this president's main domestic legacy, for good or ill.

It must be enormously depressing for him to note Bill Clinton is preparing the ground for Hillary to distance herself from it in 2016.

 
Mark Mardell Article written by Mark Mardell Mark Mardell North America editor

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  • Comment number 158.

    This comment was removed because the moderators found it broke the house rules. Explain.

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    Comment number 157.

    155. Delusional: "The purpose of debate in Congress is to expose poorly crafted legislation like ACA and fix it or reject it." Mitch McConnell stated 'We will ensure Obama is a one term president' the day after Obama was elected! Partisanship controls both chambers and Obama will get nothing, period, from a filibustered Senate and tea party controlled rabid House! Boehner, Cantor, McConnell rule.

  • Comment number 156.

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    Comment number 155.

    The purpose of debate in Congress is to expose poorly crafted legislation like ACA and fix it or reject it. This is done by its opponents pointing out the flaws in it. What happened was debate was bypassed. This was more like a flawed parliamentary system. This is how you wind up with an NHS with filthy hospitals and waiting lists. By American standards NHS is not acceptable, it's inferior quality

  • rate this
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    Comment number 154.

    MagicKirin@149
    'single-payer
    doesn't work'

    Most healthcare was provided by the NHS for 64 years in the UK, with results on average ahead of US, with efficiency promising even higher out-performance if allowed to function with sensible funding, affordable in equal partnership. Even if, inexplicably, you were to discount that achievement, you would be wrong to bar the US from allowing itself better

 

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