Death spiral, but the what?
The 'talking heads' have used the term 'death spiral', (for ACA), as a kind of 'short-hand' for what we are seeing. It is aknowledged (sp?) even by supporters, that IF they don't get the 'right' % of 'young invincibles' signed up, to 'offset' the #'s of older and chronically ill, that ACA will go into this 'death spiral'.
IF this happens, there IS a provision in the law, (as I understand it); the Insurance companies will be 'reimbursed' by the Gov't., out of a 'fund' set up in ACA, for the money they have 'lost'. And, the Ins. companies will be forced to raise their rates, in 2015, as they look at the #'s from 2014.
They will raise their rates, not only on those getting policies thru ACA, but ALSO on those in company provided insurance. The more they raise their rates, the fewer people will enroll, as it will be priced beyond the reach of most.
WHAT then? No one is really talking about any kind of 'contingency' plan, for what to do then. Do they simply abolish ACA, and 'go back'? Or, do they propose, (I'm sure many liberals, who wanted this in the first place will!) that we go to a 'single-payer' system, i.e 'Nationalised' healthcare, where the Gov't is the payer. Everyone on Medicare, in other words. That will certainly be what will be urged.
Thing is, there are all sor of problems with Medicare; over 1 Billion $'s a year in fraud, going bankrupt even earlier than SS, payments to providers inadequate, and on and on.
So, thats no 'solution' to the underlieing problem, just as ACA didn't really address the problems it was said (and 'sold' to the American people) as solving.
And, this is the problem with Gov't; it doesn't usually 'solve' the problems, just creates new ones. And, many of the problems it creates seem to be insolvable problems; or problems where the only 'solutions' are un-doable, or politically undoable. And anyt proposed solution which can't be implenmentd is of coarse no solution.
What are 'they' or 'we' going to do then???
Haven't seen anyone talking about that yet, but with the writing on the wall, you would think someo, somewhere would be. Jim
The 'talking heads' have used the term 'death spiral', (for ACA), as a kind of 'short-hand' for what we are seeing. It is aknowledged (sp?) even by supporters, that IF they don't get the 'right' % of 'young invincibles' signed up, to 'offset' the #'s of older and chronically ill, that ACA will go into this 'death spiral'.
IF this happens, there IS a provision in the law, (as I understand it); the Insurance companies will be 'reimbursed' by the Gov't., out of a 'fund' set up in ACA, for the money they have 'lost'. And, the Ins. companies will be forced to raise their rates, in 2015, as they look at the #'s from 2014.
They will raise their rates, not only on those getting policies thru ACA, but ALSO on those in company provided insurance. The more they raise their rates, the fewer people will enroll, as it will be priced beyond the reach of most.
WHAT then? No one is really talking about any kind of 'contingency' plan, for what to do then. Do they simply abolish ACA, and 'go back'? Or, do they propose, (I'm sure many liberals, who wanted this in the first place will!) that we go to a 'single-payer' system, i.e 'Nationalised' healthcare, where the Gov't is the payer. Everyone on Medicare, in other words. That will certainly be what will be urged.
Thing is, there are all sor of problems with Medicare; over 1 Billion $'s a year in fraud, going bankrupt even earlier than SS, payments to providers inadequate, and on and on.
So, thats no 'solution' to the underlieing problem, just as ACA didn't really address the problems it was said (and 'sold' to the American people) as solving.
And, this is the problem with Gov't; it doesn't usually 'solve' the problems, just creates new ones. And, many of the problems it creates seem to be insolvable problems; or problems where the only 'solutions' are un-doable, or politically undoable. And anyt proposed solution which can't be implenmentd is of coarse no solution.
What are 'they' or 'we' going to do then???
Haven't seen anyone talking about that yet, but with the writing on the wall, you would think someo, somewhere would be. Jim
Comment