One can argue that the private insurance industry should be regarded as obsolete and not worth saving. However, the ACA has extended its life, including almost $2 trillion in federal subsidies over the next ten years.
House Republicans want to convert Medicare into a voucher program, and would like to see the Senate concur. All this ties together as the biggest threat to health care for seniors and the disabled that we have yet seen. Democrats need to discover their spine!
Having assessed in the last three posts the impacts of the Affordable Care Act (ACA) over the last five years, we have seen that the ACA will not bring universal access, contain health care costs for patients and taxpayers, or improve the quality of care.
In this second post assessing the track record of the Affordable Care Act (ACA) five years after its enactment, we now look at its impact on containment of health care costs and affordability of care, two of its principal goals.
The ACA is unsustainable because of its inefficiency, increasing bureaucracy, and unaffordable costs to taxpayers as well as patients and families. As all this becomes more clear, we should all ask, what should follow the ACA?
As Martin Luther King knew full well, health care is a moral issue. Virtually all advanced countries around the world recognized long ago that health care is a human right, not a privilege based on ability to pay.
As other countries have found many years ago, the government must become more involved in pricing and financing of health care services, together with a more rigorous process of assessing services based on scientific evidence, efficacy and cost-effectiveness.
The V.A. scandal over access to care for our veterans is, of course, a betrayal of our government's debt to our veterans and a national disgrace that needs fixing on an urgent basis. Although we still don't know the full extent of the problems.
We have had about a 75-year experiment with employer-sponsored health insurance, but its track record is one of continued decline over the last 30 years -- fewer people covered, less coverage for more costs, and less value of that coverage.