Whats the difference between a government-controlled health care system and a market-driven health care system?
Is ObamaCare government-controlled health care system or a market-driven health care system? If you can give me some articles on these issues that will be great.. just need to understand this better
Discuss the implications of the aca on health care access cost, and quality?
(1) Health Care Access The same doctors, most of the Hospitals are still there before and after the ACA. Many Hospitals closed more due to Laws suits or too much debt. The Hospital that took in most of the people during 9/11 in NYC closed with 750 M in judgments against the Hospital. It is now a Con do Bldg. All people who needed care got care before the ACA mostly through the emergency Rm's. Hospitals have the same obligation today as before the ACA to treat the sick. Nothing has changed. (2) Cost. With more people in the Insurance system and paying customers the Hospitals will have less people that can't pay for services rendered. That will decrease the Hospitals red ink. Costs to the Insurance Co's from the Hospitals go down due to the red ink (people who can't pay) go down. (3) Quality: Still a matter of Malpractice, Dr.'s that provide poor quality will get sued, see #1. Dr's who cannot get Malpractice Insurance cannot be practicing Dr's.
Do you support ending the Affordable Care Act without any replacement bill?
It is the only Constitutional path.There is nothing in the Constitution that enumerates Federal Government authority over private healthcare, and the 10th Amendment prohibits the Federal Government from meddling in any area not specifically enumated to it.SCOTUS affirmed this in almost declaring Obamacare unConstitutional at the outset, but in NFIB v Sibelius, Chief Justice Roberts intervened and illegally (Article 1 and Article III) rewrote the ACA himself to define the Individual Mandate as a tax, in order to save it. He rewrote it a second time later (King v Burwell) , to rescue the subsidy system which clearly was NOT eligible to users who signed up on the Federal ACA Exchange. Rewriting legislation to try to rescue unConstitutional statutes is not a legitimate power of the Supreme Court. Now that the Individual Mandate is repealed, there is no shield for the unConstitutionality of the ACA or ANY Federally created replacement for private healthcare insurance. Any Republican attempt will face the same fate at SCOTUS, for the same reasons.Federal control of private healthcare is a terrible idea, anyway. Do you want your healthcare system to run like the DMV or the IRS? Federal control of schools has driven American education down to about 35th in the world. The Federal Government can’t provide reliable healthcare to 3.5 million deserving and amazingly tolerant Veterans, some of whom have died waiting for appointments … so how can anybody think it can operate a national private healthcare system for 320 million impatient, demanding Americans who expect immediate and unlimited service?
Do the affordable care act effect all health insurance?
Obamacare isn't insurance, it's a law. It's another name for "Affordable Care Act", which isn't at all affordable. The law has affected most of health insurance - although in some states, you can still buy a policy that is NOT compliant with the law, and then pay the fine, on top of the health insurance premium. The law says, you MUST buy inpatient drug rehab services, you MUST buy free birth control, you MUST buy maternity benefits, you MUST buy a policy with unlimited coverage. All those extras, are going to pile on the costs. Of course.
Why is Obamacare (insurance from the Healthcare Marketplace) more expensive?
The short answer is that people who are sick can get the insurance on relatively short notice (open enrollment) and they are naturally going to have greater expenses than average, and usually they have not been making a long term contribution that would drive the average down over a period of time.This is not to be confused with the social standards or moral issues.As a former health insurance broker, I have a view that is probably different from what you might expect. One is that while ObamaCare is a disaster with it’s insanely high premiums and high deductibles for the unsubsidized (very unfair), this idea of insurance companies selling across state lines is not going to really help. There are two main issues here.Large companies getting huge discounts does not help the overall picture. Example. Just yesterday I received and explanation of benefits form (EOB) regarding a medical device. The insurance company was billed $58.85, of which I paid 20%. Without insurance, the cost was around $850. So some people, who did not have coverage would be getting financially raped. This does nothing to drive down the overall cost, it just shifts who is paying for it.We have a convoluted system that is simply out of control. There is some argument that we need to get the government out of it, but that actually goes only so far. Personally, I’ve come to think lately that the medical industry should be treated like a utility because you have to be licensed by the state to be a provider and oversight is needed. And everybody must have access to the services.IMHO, the only solution is going to be to put everyone on medicare, though in principle, I don’t agree with it. I’m being pragmatic. And pay for it via a national sales or use tax of some sort. Then, people who want to can purchase supplements. Meaning you don’t get a heart transplant with basic coverage. There are valid arguments that can be made against what I’m saying, but to me, they are mostly theoretical and about principles, not everyday reality.And please, no lectures about throwing out principles. My principle is that everybody has to have coverage. One way or another, it’s just a matter of who’s going to pay for it. Like today.