Mildly Infuriating
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Probably.
We knowingly vote for this shitty health care system every two years, so why would they ever change?
At the federal and state levels, we knowingly vote against King Heron so he doesn't eat all the frogs. (That is, we vote against Republicans who are actively working to neuter democracy).
Getting social safety net stuff, justice reform or even election reform will require grassroots pressure bigger than yhe George Floyd / BLM protests.
And without those things, instead were going to get genocide politics and civil war.
I think we convince ourselves we're voting the way we do for good reasons, but since Reagan, our votes have resulted in conservative outcomes no matter who we elect. Obama even had a supermajority for six months of his presidency, and we still had to hear the usual excuses people make in order to deflect from criticism of Democrats.
I agree with you though, meaningful change is impossible now. It would take an existential threat greater than COVID for it to happen, and in a country where 40,000,000 people can't afford to miss a day of work, it's just impossible.
Another way of saying this is that with only 72 days of congress that Obama actually had a supermajority, he passed the largest expansion of healthcare coverage for Americans since medicare/medicaid.
I guess that's a conservative outcome to you though.
Only if you can absorb being price gouged, otherwise you're left in an ER to die. He had the power to enact universal health care and sided with lobbyists, and deserves full credit for it.
It should also be noted that Obamacare was modeled off of the system Mitt Romney implemented when he was a state governor. It's literally a conservative system.
I'm going to assume you weren't politically aware when Obamacare was being passed. It barely made it through as it was. There was absolutely zero chance universal health care could ever have been passed at that time. To claim Obama had the power to enact it is insane.
Also, since Obamacare contained huge expansions for medicaid eligibility, and Obamacare is, as you claim, "literally a conservative system", wouldn't medicaid for all be the most conservative system of them all?
Finally, no, no one is left in ERs to die, insured or not. Heck you don't even need to be a citizen. That hasn't been true since 1986. That said, you would get a hefty bill if they actually know who you are and I do fully support a system where that is not the case and one can get treatment without worrying about the cost.
Technically, if the only thing he could pass was a conservative system because the conservatives would block anything further left of it, then yeah, that explains how the ACA is a conservative system.
Obama was very much a neoliberal who mostly continued George W. Bush policies. (Bush was a far-right conservative, even if he was overshadowed by Trump). Curiously, Biden is continuing Trump policies, even to the point of letting people in crisis die.
The Democratic party has had stopgaps to keep it neoliberal (that is establishment, corporate-sponsored) since Carter, who was too left wing for its tastes. In both cases of Carter and Occasio-Cortez, party policy was changed to assure that no-one like them could be elected again. (Though the policy change of the DCCC after Occasio-Cortez was allegedly reversed due to public pressure.)
As Oxford noted, the US is not a true democracy, but an oligarchy with small democratic features. And now the GOP wants to make sure it's a one-party system, so they don't even have to bother campaigning.