It was first hard to understand why any legislature
would vote for a bill that none had ever read, to have any comprehension of all
the mandates, subsides and regulations entangled in large sums of paper that
represented the law itself. However, it is possible to evaluate its eventual
effectiveness – namely by determining if it actually meets its objectives of
reducing health care cost, provide health care coverage for all and lastly, if
you can actually do what the President stated: keep your physicians or policy
if you like them.
The last is a given so I won’t spend too much effort
on that. However, the first, reducing cost is the main concern. It should be
clear that in order to reduce health care cost, one must know how much health
care service are in dollar terms. This
is something that varies by hospital to hospital and specialty to specialty as
research notes. For example, the Washington Post reported that the cost for a
patient on a ventilator at one hospital was $115,000 and $53,000 at another and
$30,000 at yet another. Procedures for lower limb replacement in the same
article ranged from $117,000 to $25,600. One example showed that inpatient cost
for joint replacement in Oklahoma was $5,300 but $223,000 in Monterey,
California. In NYC, cost for treating asthma varied 321% between two hospitals
approximately 60 blocks apart. And I
won’t even go into cost for aspirin, toilet paper and overnight stays in a
hospital ward.
A social Marxist would say let us have one cost
across the board, but such would not consider a surgeon with 20 years
experiences and no clinical complications experienced by patients and a first
year without any clinical experience (which would go against all the rules of
rewarding expertise and competency).
The President often repeated that the ACA would
reduce the cost of premiums by $2,500 for a family of four. However, using the
same math the Administration employed, one scientist calculated it would
increase premiums for a family of four by more than $7400 by 2222. When I did the formula, I came out with a similar
figure closer to $7,900 per family of four (my model assumed that both head of
household were not employed). The Manhattan Institute, although they did not
disclose their method completely, predicted and increase of 41% which in any
case is way more than $2,500. This was
as of the end of last year and was an overall estimiate not giving any weighted
effects for states like Georgia or Indiana where increases are estimated to be
198 and 72 percent accordingly.
New information shows that based on official filings
by insurance companies in Virginia, that policy rate increases range between 3 to 17 percent for 2015, and are attributed to new cost associated with
implementing the ACA as a function of being mandated to cover less healthy and
previously folk that never had health insurance.
Although the President stated that this law would
assist in providing coverage for folk who did not have health insurance. It is
difficult for me how his administration came up with the number of people who
did not have health care coverage since it fluctuates, similar too manner in
knowing how many cares are owned by people versus the actually number that are
drivable and on the road. Since this proposal was implemented during the start
of our current and present recession, the Obama Administration goal of signing
up 7 million really wasn’t too difficult since close to 40 million currently
have no form of health coverage, inclusive of the botched roll out of the web
site. To be completely honest, as the
federal government, it is difficult for me to believe then even have a clue of
how many uninsured folk in America, regardless of being either democrat or
republican.
Although many promulgate that the subsides will help
deal with these projected increases, in reality they will not hide the pain
that certain folk will have for paying extra for others who cannot afford to
pay for their policy or being required to pay for service they do not need. My
mother for example, is 72 and still wonders why she has to pay for maternity
coverage (when she can’t have children or why she has to, by law have prostate
cancer coverage when she doesn’t have a prostate).
In summary, anyone who will say that the ACA is a
failure or a success is not being honest or objective. All will have to wait
for small and large business, which the president gave waivers, to sign up and
see what other laws go in place or changes made to the ACA to complete the final
product to evaluate it appropriately. What can be said that it will have a
major impact on the U.S. Economy, since the government has taken control of
approximately 30% of the U.S. GDP with its control of health care insurance and
health care delivery? What we can say is that the ACA will definitely change
how many small and large business hire and provide insurance coverage. What we can say is that the ACA will limit
individual choice in healthcare and may even impact the growth of the health
care delivery industry as a hole. Lastly, what we can say is that in time, all
will feel the impact of ACA whether for the good, the bad or the ugly.
9 comments:
ninest123 16.04
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It was first hard to understand why any legislature would vote for a bill that none had ever read, to have any comprehension of all the mandates, subsides and regulations entangled in large sums of paper that represented the law itself. However, it is possible to evaluate its eventual effectiveness – namely by determining if it actually meets its objectives of reducing health care cost, provide health care coverage for all and lastly, if you can actually do what the President stated: keep your physicians or policy if you like them.
الاستعلام عن البطاقة المدنية بالرقم القومي الكويت
شهادة تفصيل راتب ديوان الخدمة المدنية
ديوان الخدمة المدنية لمعرفة رصيد الاجازات
كيفية استخراج فيش وتشبيه من الكويت
كيفية التواصل مع الدعم الفني مكتب العمل
ديوان الخدمة المدنية النظم المتكاملة
هل منشطات الحمل تؤخر الدورة الشهرية
شحن فودافون كاش من فوري
مدة تأخر الدورة الشهرية لمعرفة الحمل
اسباب تأخر ظهور هرمون الحمل
عمل محفظة فودافون كاش
موقع ترجمة الافلام الهندية الى العربية
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