[public-health] ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE: CLIMATE CHANGE DECEIT : ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE : CLIMATE CHANGE DENIAL : DISINFORMATION : UNITED STATES: POLITICS: POLITICAL PARTIES: REPUBLICAN PARTY, TEA PARTY : INDUSTRIES: PETROLEUM : LIBERTARIANISM : RACISM : BIGOTRY : EXTREMISM : HATE GROUPS : INTOLERANCE : DONALD TRUMP : BLATANT FALSEHOODS : SERIAL LIARS : REPUBLICAN WAR ON WOMEN : RAPE CULTURE : SEXISM : NEO-NAZIS : KU KLUX KLAN : RELIGION: CHRISTIANS: RELIGIOUS RIGHT : VIOLATIONS OF THE CONSTITUTION : MEDIA SUPPRESSION : LEGAL ISSUES : REPUBLICAN OBAMACARE REPEAL : MEDIA : FREEDOM OF THE PRESS : CENSORSHIP : POLITICS: VOTER SUPPRESSION : DICTATORSHIPS : OLIGARCHIES : FAKE NEWS : HEALTH CARE REFORM: Republicans’ AHCA an Inferior Knockoff of ‘Obamacare’

 

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ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE CLIMATE CHANGE DECEIT :

ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE  : CLIMATE CHANGE DENIAL :

DISINFORMATION :

UNITED STATES: POLITICS: POLITICAL PARTIES: REPUBLICAN PARTY, TEA PARTY :

INDUSTRIES: PETROLEUM :

LIBERTARIANISM :

RACISM :

BIGOTRY :

EXTREMISM :

HATE GROUPS :

INTOLERANCE :

DONALD TRUMP :

BLATANT FALSEHOODS :

SERIAL LIARS :

REPUBLICAN WAR ON WOMEN :

RAPE CULTURE :

SEXISM :

NEO-NAZIS :

KU KLUX KLAN :

RELIGION: CHRISTIANS: RELIGIOUS RIGHT :

VIOLATIONS OF THE CONSTITUTION :

MEDIA SUPPRESSION :

ENVIRONMENT:

LEGAL ISSUES :

REPUBLICAN OBAMACARE REPEAL :

MEDIA :

FREEDOM OF THE PRESS :

CENSORSHIP :

POLITICS: VOTER SUPPRESSION :

DICTATORSHIPS :

OLIGARCHIES:

FAKE NEWS :

Republicans’ AHCA an Inferior Knockoff of ‘Obamacare’

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Republicans’ AHCA an Inferior Knockoff of ‘Obamacare’

William P. Kratzke

Special to The Commercial Appeal

12:03 a.m. CT March 26, 2017

http://www.commercialappeal.com/story/opinion/contributors/
2017/03/26/republicans-ahca-inferior-knockoff-obamacare/99548452/

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A shorter URL for the above link:

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http://tinyurl.com/nxx52nq

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Before enactment of the Affordable Care Act (ACA), 40 million Americans lacked health insurance and so had no access to health care  a serious problem.

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The ACA greatly expanded access to health care through new. health insurance exchanges, individual mandates and existing mechanisms (Medicaid).

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Between 2010 and 2016, health coverage increased by 20.2 million persons.

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The proposed American Health Care Act (AHCA), purports to address the problem of the ACAs high cost.  As an inferior knockoff of Obamacare, the AHCA leaves the ACAs framework intact but delivers less for less.

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Republicans have a problem of their own making. During the Obama presidency, Republicans decided not to participate in health care discussions. The train left the station without them.

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The AHCA has been rightly dubbed Obamacare-lite by fellow Republicans and faces considerable opposition.

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Most of the ACAs gains in coverage came from expansion of Medicaid, a state-federal program that has provided care for low-income individuals since 1965. Thirty two states signed up.

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In Tennessee, Bill Haslam has pushed an initiative to provide health care to 200,000 uninsured Tennesseans using funds made available by the ACA, but the initiative has stalled.

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Its an accident of history that insurance dominates pricing in American healthcare. A loophole in World War II wage-and-price controls permitted employers to defuse upward pressure on wages by providing employees with reasonable health and pension benefits.

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Tax breaks followed for employer-provided health insurance, and it now dominates pricing in healthcare markets. We denied that such benefits were simply wages by another name. Nowadays, workers who have lost their employer-provided health insurance understand the lie better than the policy wonks who invented the loophole.

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True insurance provides financial protection against the remote possibility of incurring a catastrophic loss. Think fire insurance, automobile liability insurance.

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Health insurance includes this element of insurance, but now its much more. Its the means by which we finance much of the healthcare system, including payments for predictable, non-catastrophic events  like prepaying for an oil change for our automobile and calling it insurance.

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As insurance evolved post-WWII into this payment system, employees skills in shopping for health care atrophied. Employees believed that they did not pay their health care bills. Prices soared. Distorted price equilibria crystallized around this payment system, and we consider resulting price distortions to be normal.

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The price of health care is so high because we have a payment system that masquerades as insurance.

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The complete article may be read at the URL above.

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David Dillard
Temple University
(215) 204 – 4584
jwne@temple.edu
http://workface.com/e/daviddillard

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[public-health] ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE: CLIMATE CHANGE DECEIT : ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE : CLIMATE CHANGE DENIAL : DISINFORMATION : UNITED STATES: POLITICS: POLITICAL PARTIES: REPUBLICAN PARTY, TEA PARTY : INDUSTRIES: PETROLEUM : LIBERTARIANISM : RACISM : BIGOTRY : EXTREMISM : HATE GROUPS : INTOLERANCE : DONALD TRUMP : BLATANT FALSEHOODS : SERIAL LIARS : REPUBLICAN WAR ON WOMEN : RAPE CULTURE : SEXISM : NEO-NAZIS : KU KLUX KLAN : RELIGION: CHRISTIANS: RELIGIOUS RIGHT : VIOLATIONS OF THE CONSTITUTION : MEDIA SUPPRESSION : LEGAL ISSUES : REPUBLICAN OBAMACARE REPEAL : MEDIA : FREEDOM OF THE PRESS : CENSORSHIP : POLITICS: VOTER SUPPRESSION : DICTATORSHIPS : OLIGARCHIES : FAKE NEWS : HEALTH CARE REFORM: Republicans’ AHCA an Inferior Knockoff of ‘Obamacare’

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