Some have suggested, the progressive abolition of most obnoxious features of affordable care Act (ACA). The risk of this approach is similar in cancer surgery: you might not get it all. A lot can be hidden in 906 pages of the arcane legal language.
Instead, I propose that we the slate with a total lifting wipe clean and then check any features morning chill, the most votes are good.This would be ist.Viel the most efficient way, since the list shorter shorter.
The most popular part is probably the removal of the "pre existings."You cannot eliminate the non versicherbaren State of course, only the insurance company's ability to deny coverage to people who have it. How would such an isolated law?
In a free market coverage for people with pre existings may also available without each any law - if insurers could simply a premium charge your reflect premium, risk or the potential payout to begrenzen.Die might be very high. That would be a strong incentive to insurance buy when young and healthy and resist temptation to spend the premium money instead on iPods and new cars.But for many it is too late.
The United States already have the equivalent of fire insurance for those whose house burn down ist.Es means Medicaid. Roll in the emergency room desperately ill and the hospital treats, and register them probably in Medicaid - probably, after losing spent over all assets and your SUV and your home.
Such personal tragedies, how about a law to prevent, that simply said: "Insurance must take all comers without price discrimination for pre-existing conditions."This is called "guaranteed issue" and "Community rating" (GI/CR).
GI/CR would work well if insurance were a magic money multiplier (MMM): put $100 into the slot machine, pull the lever and watching US$ 6 million in medical services pour out. The problem is that when a lot of healthy people do not expect that need reject medical services, feed - in your rewards, know you can always do so, if you fall ill, premiums quickly be must escalate. This is adverse selection (only sick people reporting), or the death spiral.It has happened every time when GI/CR has tried.
This popular part of the ACA is impossible without the hated and unconstitutional individual and employer mandates.
What about away with borders for life cover do? Limit health financing expenditure? removal of standardization? All of these have the same problem: transformed lack a MMM, such as a money tree or the stone base metal into gold.The more we need to pay insurance, more money has, with the inevitable loss of administrative overhead are cast.
How about's "doctors give incentives, to be effective"? in a free market is the profit motive.The ACA painted to look like carrots, where large new reporting systems, with payments that channelled through managed care mechanisms "Incentives" sticks.The choice is freedom - or ACA bureaucracies. Some of 159 new bureaucracies we want keep?
What is "Affordability" provisions?Because prices are going up, means in ACA "affordable" force someone else to zahlen.Es is a redistribution of money from those, more than 400% poverty federal level (approximately $88,000) earn for those who deserve.Americans are divided into winners and losers, ensures constant on the share of fighting shrinking pie.
Everyone may prefer a part is about the people allow to keep your insurance and your health care provider if you like.
Oh, that's not in the Stückliste.Das a presidential was versprechen.Das ACA has rules for "grandfathering" some plans –, because you have no long life expectancy sollen.ACA appears also designed a good term to go independent physicians from practice and physician-owned hospitals prohibits practically new.
If we browse through the ACA on the search for isolated good points, things better or less make costly, instead of worse and more expensive, I predict that our thought experiment will result in the "zero - set" mathematics.
So far I have found no such provisions, 0 (zero) .Nought, Nada, nothing, zilch.
Jane M. East, m.d., is an on air contribution to healthcare reform sprechen.Dr.Orient is general internal medicine since 1981 in solo practice and instructor is clinical medicine at the University of Arizona College of Medicine.Sie is author of Sapira's art and science of bedside diagnosis and their doctor is need in: healthy skepticism about National Health Care.Sie is the Managing Director of the Association of American physicians and surgeons.
"" "If we continue to scour good points making things better or less expensive by the ACA in search for isolated, instead of worse and more expensive, I predict that our thought experiment will result in the mathematics the"null set.""
That would depend of course on the definition of "good".
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