I received a response
from my Congressional representative the other day and decided to reply. Below
is his letter and below that is my response.  Some of you (perhaps many or
all) will disagree with my reply.  That's fine.  If there are particular
points you'd like to address, please feel free to comment.  Perhaps this
might serve as grist for a constructive conversation.
JimN
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October
  11, 2013 
Rev. James E. Norton 
13 Fairway Lane 
Fairmont, WV 26554-2012 
Dear Rev. Norton: 
Thank you for contacting me about
  the Affordable Care Act, also known as Obamacare. I appreciate hearing from
  you on this important issue. 
The health and safety of West
  Virginians is a priority of mine. However, the President’s health care plan
  is a bad policy that increases health care costs, explodes the deficit and
  hurts small businesses. 
As implementation of the health
  care law continues, the American people have started to see more problems and
  failings associate with it. The pre-existing conditions program has already
  been halted by the Obama administration because it ran out of funds 8 months
  early. The Obama administration has also delayed a number of provisions
  including a delay on the employer mandate for a year. 
Obamacare will cost America $1.76
  trillion over its first 10 years and add 17 new taxes or penalties. Insurance
  premiums, which according to the President were going to be reduced by up to
  $2,500 per year, will increase for new participants by as much as 413%. Small
  business owners and individuals have raised numerous concerns about the costs
  of premiums, the ability to keep the same coverage, and the 127 million hours
  per year that business owners, families, and health care providers will now
  spend strictly on compliance paperwork. 
Under the law, tens of millions of
  Americans are at risk of losing their coverage, and employers have already
  been reported as shifting workers to part-time or 29 hours to avoid Obamacare
  rules. All Americans should have the right to make their own health care
  choices. Restricting choice and punishing individuals and employers is the
  wrong way to reform health care. 
The goal is to replace Obamacare
  with common sense solutions focused on affordability first, not a Washington
  run, top-down approach. Reforms such as purchasing insurance options across
  state lines, making health care portable between jobs, creation of
  state-based risk pools for people with pre-existing conditions, and medical
  liability reform will help bring down cost and expand access to care without
  a top-down system. 
Again, thank you for contacting my
  office.  If you have any further questions or concerns, please do not
  hesitate to contact my office.  Regarding issues before Congress, please
  contact my Washington, D.C. office by phone at (202) 225-4172; for
  constituent services, my Morgantown office at (304) 284-8506.  I also
  encourage you to visit my website at www.mckinley.house.gov, where you can send me an email
  and sign up for my email newsletter. 
Sincerely, 
David B. McKinley, P.E. 
Member of Congress 
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Congressman David B.
McKinley, P.E.
House of
RepresentativesWashington, D.C.
Your letter reiterates
the same "old" talking points that keep getting hammered in some sort
of propaganda campaign, most of which have been disproved, even by your own
Congressional Budget Office. Already, the AHA is accomplishing worthy reforms
in the overpriced, under-performing health care system.  These gains are
being accomplished by market-incentives, encouraging fewer hospital stays,
fewer ER visits, and unnecessary costly procedures.  Now when I visit my
doctor, he is able with a few key-strokes on his lap-top to gain access to my
entire medical history, and that makes him even more proficient than he always
has been in providing for my care.  The AHA is promoting precisely that
kind of advancement.  The removal of life-time limits and pre-conditions clauses
has even now saved many families from economic ruin.
Obviously, such a
massive new approach is going to encounter glitches.  Those unforeseen
delays in registering new health insurance applications helps explain how
widely popular the new program is and its public demand.  To use such
to-be-expected "hiccups" as justification for gutting the program is
deceptive representation, to say the least.
The sad reality is
that in America we pay more for medical care than any other developed
countries, but the health of American citizens is far from mirroring the
measure of resources we pour into health care.  Where is the money going?
Could it be the pockets of inordinately paid upper-level hospital and
drug company executives?  The AHA is, once again, demonstrating a
reasonable approach to payment for services, which probably will have long-term
consequences for those who have been riding the medical and health insurance
gravy train.  My opinion here does not include actual medical
practitioners.  I have been blessed with exceptional doctors and other
health care providers, and I have only the highest praise and respect for their
commitment and care.  The problem, it seems to me, has to do with those
who run medical institutions and drug companies and "make a killing"
in the health market.  The AHA will impose restrictions on their ability
to do so.
You argue that the AHA
is a government, top-down approach.  I disagree.  It is a
market-driven enterprise connected to quality care and successful outcomes:
fewer hospitalizations due to pro-active intervention, working more closely
with patients to ensure healthier outcomes, and in the long-run leading to a
healthier country.
Certainly you ran for
office out of a deep desire to "promote the general welfare," and as
a Republican your aim is to conserve those values that reflect a humane
American spirit. Given the attributes that have already come into play because
of the AHA, I cannot help but wonder why the intense hostility toward it.
 The changes in health care you espouse are already a part of the AHA.
 Is the problem that while the original program in Massachusetts was
Republican in origin, the present national program was Democratic led.
 Are we dealing with political spite here?  Representative McKinley,
please give serious reconsideration to ending the destructive shut-down,
raising the debt-ceiling, and stopping the craziness over Obamacare.
Sincerely,
James E. Norton