Tag Archive | poor

Impact and Ideas

This is an excerpt from a report on the New York Times site.  Go there to read it in its entirety:

WASHINGTON — A bill to dismantle the Affordable Care Act that
narrowly passed the House
this month would increase the projected number of people without
health insurance
by 14 million next year and by 23 million in 2026, the
Congressional Budget Office
said Wednesday. That 10-year figure is slightly less than originally estimated.

It would reduce the federal deficit by $119 billion over a decade, less than the $150 billion in savings projected in late March for an earlier version
of the bill. And in states that seek waivers from rules mandating essential health coverage, the new law could make insurance economically out of reach
for some sick consumers.

“Premiums would vary significantly according to health status and the types of benefits provided, and less healthy people would face extremely high premiums,” …

The House repeal bill was approved on May 4 by a vote of 217 to 213, without support from any Democrats. It would eliminate tax penalties for people who
go without health insurance and would roll back state-by-state expansions of
Medicaid,
which have provided coverage to millions of low-income people. And in place of government-subsidized insurance policies offered exclusively on the Affordable
Care Act’s marketplaces, the bill would offer tax credits of $2,000 to $4,000 a year, depending on age.

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You know, it might look like following through with the health care plan from the House would save the government money; but I’m thinking it will cost a lot more in the long run:  People without insurance who become ill will still need care.  They will wait until they are seriously in trouble; then go to their local emergency room; hospitals will take care of them, forgive the debt; then pass the cost on to consumers and funds from government grants, among other sources.  These people will be less able to look for work or continue in their employment as their circumstances worsen…  We will spend money on health care and poverty relief anyway; why not do it right from the beginning.
Another point about services covered by Medicaid and other provisions in the ACA:  Part of the funding that seems to be on the chopping block makes it possible for severely disabled people to stay home and receive care from family members.  This is by far the most compassionate, cost effective approach.  Do away with these resources and those with severe disabilities either die or go to care facilities, hwere they will likely have poorer care.  The bent to do away with funding for people in need is very short sighted and unkind.
Then there’s this idea of a tax credit instead of subsidized insurance:  Most people receiving financial help for their ACA insurance can’t afford to wait a year for a tax credit.

It isn’t fair to complain if I don’t have some ideas for solutions:
*Go after the providers who steal from the government.  They take kfar more away from all of us than all of the “moochers” and legitimate recipients together.
*Have people on the front lines contribute to policy making…those who work in the system; those who live it.  We know more about the ins and outs than anybody in Congress or the White House.
*Increase incentives for making healthy choices, including preventative  care and early intervention.
*Empower natural helpers, such as family care givers.
*Leave the Affordable Health Care Act in place for now; take time to iron out the real bugs.