As a result, those who want repeal from your ranks are likely even smaller now because of the uncertainty it would create surrounding long-range planning and investments.
As I mentioned, I'm not a political expert, nor do I play one on TV. I also slept in my own bed last night, not at a Holiday Inn Express. So take this prediction with a grain of salt, but I don't think healthcare is really a core issue in this election, especially, as looks increasingly likely that former Massachusetts Governor Mitt Romney will win the GOP nomination.
Republicans are clearly playing to their base when they talk about repeal, but history shows that anything that gives something to voters is very infrequently repealed. Never mind that Romney's the guy whose lasting political legacy is the creation of "Romneycare" in Massachusetts, a universal coverage law that it very similar to "Obamacare" in that it's largely intended to provide "coverage" to the uninsured.
In that regard, it has succeeded. But in large part, coverage is in the eye of the beholder. For hospitals and health systems, it means largely playing games with the same pot of money. Revenue is largely the same, but the number of patients for which they get some payment is increased. Some deal.