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It wasnt a half measure.
Its just, when you roll out a revolutionary change in the way things are done, like the ACA was, there are going to be issues that pop up after rollout that no one could predict.
Which is why you need follow up legislation to address those unpredictable holes/cracks/issues.
and unfortunately the only way thats gonna happen is with a supermajority of democrats who have the cajones to just ram the shit through without playing games and without trying to get the republicans involved, because the republicans will stop at nothing to prevent anything they see as a "win" for democrats, no matter how much misery and suffering it causes the American people. They'll watch their own mothers suffocate to death from preventable disease rather than let the dems have a "win".
and to top off the absolute miserable bastardry, they'll then run campaign ads for the next 12 months talking about how democrats are mother-smotherers
Do even Dems talk about further improvements or tiptoeing any closer to single payer these days? It has been seeming to me the insurance lobby has things sewn up pretty tight.