Parts of the Affordable Care Act are here to stay, according to Thomas Miller, Resident Fellow at the American Enterprise Institute.
"We're going to be stuck with some of it, but not all of it," Miller told John Fund, guest host of "The Steve Malzberg Show" on Newsmax TV.
"Those of us who have opposed to it need to do a better job of saying it's a better world ahead in a different way."
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The Affordable Care Act — also known as Obamacare — is set to begin Jan. 1, although one part of it, the employer healthcare mandate, already has been postponed for a year by the Obama administration.
"Their primary strategy, after all is said and done, is we've got a permanent law, you can't blow it out of the water, so whatever we can accomplish we'll call a success even if it isn't — and we'll still be around several years later to do the follow-ons and the finishing touches," Miller said.
That said, Obamacare is in for a rocky start, believes Miller, whose Washington, D.C. based group is a free-enterprise think tank.
"They're going to have a lot of snafus and scrambles at the early going and they're hoping to just stay on their feet," he said.
"Their bigger problem is being able to get young people, who are relatively healthy and really would not be inclined to overpay for their healthcare, to somehow sign up for this. That's where the struggle's going to be."
Miller also fears that over time, Americans are going to be more restricted in their choices of physicians and hospitals — which flies in the face of an Obama administration promise.
"It was situational truth. It sounded like a good story at the time and that was needed for the political transaction but it was never probably intended to actually be done that way and certainly isn't materializing that way," he said.
"We've got, among older doctors [who have] less desire to stay in this new world. So, in general, we're going to have an increase in demand – government's pretty good at doing that – but pretty much either the same or a slightly shrinking supply which is going to cause major problems ahead in terms of access to medical care."
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