This is the key point I am trying to make: there is quite a difference between the healthcare delivery system (the facilities and staff who provide care) and the healthcare reimbursement system (the private and public insurers who pay for care). It may well be that the ACA is rightfully considered a step towards a government-run reimbursement system, but to think that the ACA is going to lead to the nationalization of the healthcare delivery system is ludicrous.
Really? Why is it so many people are finding out that their insurance premiums are increasing 2X, and their deductibles are skyrocketing? The system is designed for people up to 26 to stay on their parents' programs, yet it also depends on a lot of healthy young people signing up to pay for the costs of the older more sick-prone patients. This appears very contradictory to me! I mean, why WOULD I sign up if I could stay on my parents' insurance?
Also, forcing companies to take pre-existing conditions? Fine, it sounds humane and all, but that too will jack up the rates. No longer will ACME Life Insurance be taking a risk Robert Sickman who is applying won't get sick...he'll
already be sick, so they will be paying for his treatment.
Again, costs go up.
The whole thing will begin to make these companies far more unpopular than they are now, and gues what? Government will have to ONE MORE TIME solve a healthcare problem IT CAUSED.
So, then, along atlast comes single payer -- and viola' the government takes over.
I could relate to everyone my parents' experience with the British system as they lived over there for three years, and learned a lot. I wouldn't wish THAT system on my worst enemy.
But I wouldn's wanna be called an alarmist, or an Obama-basher.....NO I ain't fallin' for THAT TRAP!!
And I also like to point out that the insurance plans provided through the ACA exchanges are private insurance companies: the Blue Cross/Blue Shield and other large regional and national private insurance companies. In my view, the ACA is a corporate welfare gift to many of the private insurance companies. Don't kid yourself that these private insurers will not end up making a profit. And it will be done by controlling care and limiting reimbursements, just as the healthcare insurance companies do now. But I am amazed at the number of people who think this will be OK, since it not 'The Government' making these utilization review decisions, but private industry, whom we can surely trust to have our best interests at heart. It is an unpopular opinion to voice in a forum like this, but there is a lot of data showing that many of the Government payors, like straight Medicare, have far less corruption, profit skimming and lower administrative overhead than private healthcare insurers. But this would mean admitting that the Government can do something better than private industry, an anathema to many Rugged Individualists.
Seriously?