Trump said that nobody knew health care was this complicated. Here’s the truth: it’s only complicated because we made it so to insure (no pun intended) that we do not go to universal single payer and ditch the markets.
Allow me to explain how simple it is.
In any population of American citizens where all are covered by a health care insurance plan that provides quality coverage, the cost of that plan is “X”. For every citizen NOT covered by a health care insurance plan that provides quality coverage, the cost of that plan is X+1. If there are two citizens, the cost is X+2, and so on. Why is this so?
- Every time a citizen lacks a health care insurance plan that provides quality coverage, that citizen is more likely to put off preventive care.
- Putting off preventative care leads to a higher chance of catastrophic injury or illness.
- Because of a law signed by President Reagan, The Emergency Medical Treatment and Labor Act (EMTALA), private hospitals are required to provide treatment to anyone coming to an emergency department until they are stabilized, regardless of their insurance status or ability to pay. This is an unfunded mandate.
- The unfunded mandate is funded, however, by hospitals charging those citizens with insurance higher fees to cover the losses from the EMTALA citizens.
- In short, the lack of preventive care and the use of the emergency department as a public health service is the most uneconomical medical model in the world, and this is part of the reason why the USA has the highest healthcare spending in the world.
If any new health care act signed into law by our government results in one more citizen without a health care insurance plan that provides quality coverage or 26 Million more, whatever that number is, it means that the overall cost to cover all the citizens in the USA will be HIGHER than it was before.
We do not need CBO scores. We simply need to acknowledge the truth as explained above in #1, #2, #3, #4, & #5.
Which leads us to this: If ALL citizens are covered by a health care insurance plan that provides quality coverage (like the one that our members of congress enjoy), our overall costs will be lower.
So what’s the problem? Well, in 20014, the CEOs of the Big Five for-profit health insurance companies all took home at least $10 million in 2014, according to each insurers’ annual filings with the Securities and Exchange Commission (SEC) (Aetna, Anthem, Cigna, Humana, UnitedHealth ).
Markets are the problem…and the Republican solution is “more markets!”
Who’s running this country anyway?