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id argue that during the Obama administration steps were taken in the right direction to try to ween insurance companies off the employed/insured racket, but pr
by nimbius 7y ago
id argue that during the Obama administration steps were taken in the right direction to try to ween insurance companies off the employed/insured racket, but presently outside of this setup theres limited ability for real people to acquire health insurance on their own for a reasonable rate.
Part of this is due to the obstinate nature of some 8 US states that refuse to expand medicare, and part of it is due to multiple healthcare providers such as Kaiser walking out of the open marketplaces proposed by the Obama administration during his term. Then you have to look at what states are explicitly willing to cover as part of their expansion, or rather, what they wont cover. Abortion and contraceptive birth control come to mind, and certainly during the open drafting of the ACA these were outright muddled or restricted in nature. This means private/corporate insured people always have access to family planning, while those on the open market do not. It poses an uncomfortable class delineation.
If i had to postulate as to how US Healthcare will eventually reform, it would be with a whimper. Medicare will soon become large enough that the contraceptive mandate wont matter. Corporations (uber, lyft, amazon) are all becoming fairly callous to the idea that employees get anything at all, let alone healthcare, so its possible they will simply force the states hand.
- dragonwriter 7y ago> Part of this is due to the obstinate nature of some 8 US states that refuse to expand medicare Medicaid, not Medicare. Medicaid is the federally-subsidized state-run program for the medically indigent. > part of it is due to multiple healthcare providers such as Kaiser walking out of the open marketplaces proposed by the Obama administration during his term Kaiser has ACA plans at all levels from Bronze to Platinum in the California exchanges. If they've walked away in other states, it's probably because of state policy, not a fundamental corporate opposition to participating in ACA exchanges.