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My Recent Comments
Well the underlying idea is one of shared sacrifice, with the young and the middle class sharing the costs of helping older and sicker enrollees. This sharing will grow when the (previously delayed) business mandate appears in 2014. The business mandate will encourage employers to shift more employees to exchanges – I guess these employees will be younger, middle-class folks.
Regardless of party or philosophy I'm not convinced the ACA as-is can work. The private market and single payer are at opposite ends and the ACA is in the middle, with government managing the options for health insurance. The natural alternative to private markets and the ACA is a single payer system in which we have more coverage but possibly fewer doctors, longer wait times, etc. This is the classic price ceiling effect - once prices are capped fewer "suppliers" enter the marketplace. However as in countries with single payer systems (e.g., Australia, Canada) it will still be possible to pay an extra fee to keep doctors on retainer, to purchase supplemental insurance to improve quality of care, etc.
11 months ago