So, the GOP is back on the anti-Obamacare bandwagon with reckless abandon to the facts.

Customers on ACA exchanges to face “higher costs, demands for return of subsidies, and double-billings” this year. http://t.co/Gr0PwnkjCR

— Gabriel Malor (@gabrielmalor) November 13, 2014

Show me any private insurer who hasn’t done the exact same thing. You can fall over yourself with examples of double billing, death paneling someone’s claims as being experimental or outside the customary and usual practices, or bankrupting someone who is unable to communicate that they need to go to an in-network hospital and find themselves unable to pay for out-of-network care (as say someone who has a heart attack and can’t communicate their insurance coverages, and therefore get procedures done at the out of network costs, which are substantially higher than the in-network costs).

The ACA isn’t perfect, and yet that’s what the GOP is demanding, all while ignoring the imperfect and far more damaging system that preceded it. The GOP seems delirious over the need to attack the ACA over shortcomings that persist in all areas of health insurance - and which existed (and continue to exist) in private health insurance markets.

The issue with recapturing subsidies (or in some cases, giving rebates for overpayments) is a tough one, particularly when the insurance companies are still trying to determine what their costs are, and what they should be charging for this new pool of insureds.