Putting Palin aside, the ACA was designed to collapse the insurance market and then transfer healthcare to the federal government.
The economic reality is that: how could a company fail to make a profit when the government mandates you buy their product?
Simple: you force insurance companies to accept all consumers, even those with pre-existing conditions and not charge them anymore than healthy people. The company raises its premiums to the healthy to factor in the un-healthy. Over time the company cannot keep up with the high volume of clinic, ER, hospital costs. Eventually the costs outstrip the premiums and you raise them even more. In fact 2017 is projected to have greater increases than 2016. In a few years the system collapses because more anymore will refuse to pay the exorbitant premiums and opt to "pay the fine". Only the feds will NOT collect the fine if you don't owe the IRS on your yearly tax statement. They have no other way of collecting the fine.
That means fewer dollars for reimbursement and it collapses the system even faster.
The ultimate goal is single payer - basically Medicare from cradle to the grave.
The new model cannot hep but parallel the VA system of "healthcare". This means, rationed care, delays, incompetence and yes, "death panels".
I am reminded of a Medical Examiner who told me at the scene of an unattended death, he'd rather send his father to veterinary doctor than the VA Medical System.
As for Palin, she was correct. "Death panels" were in the ACA, then taken out after the uproar and than later, quietly put back in.
Very well stated.
The problem is it ended up giving the insurance companies even more decision power and profits.
Example...
One of my Daughters and Son in Law both work at the same hospital and have two Children. Their insurance through work is funneled through the cheaper Family plan on my Son in laws contract. Their contribution towards the Coverage is $1200 a month AFTER their employers contribution.
This amount equals the house payment they now cannot make!
Even with this very large contribution towards Insurance they still have to dishonestly cheat the system in order to get needed care. The insurance Company completely denies all care except basic preventative care unless it is a life threatening emergency through an Emergency room.
So now when any very time sensitive procedures need to be done their Doctor and themselves have to discretely arrange and preplan a date for them to check into the Emergency Room in order to force the Insurance company to cover it. 1200 dollars a month should buy much better respect and care for these kids not to mention their Doctor's Knowledge and expertise of what care should be provided and when it needs to be provided.