3 ms·
> This applies most of the the large-purchaser effect of a social program... Does it, though? That's what I'm wondering. Is there any evidence that the model
by rwl 13y ago
> This applies most of the the large-purchaser effect of a social program...
Does it, though? That's what I'm wondering. Is there any evidence that the model followed by the Affordable Care Act is not significantly more expensive per capita than a single-payer, "Medicare for all" kind of system?
- dragonwriter 13y agoWell, there's the large-purchaser effect when the purchased good is privately-offered health insurance, and the large purchaser effect when the purchased good is actually health care services. Aside from the effects of the non-discrimination requirements which shift costs from the older and less healthy to the young and healthy, the ACA model increases the number of people that can benefit from large-purchaser group rates on insurance -- its almost certainly less efficient than single-payer overall still (as, for that matter is Medicare, which hasn't been single payer for decades, due to Risk HMO / Part C / Medicare Advantage plans, which are actually make it very similar in model to the ACA except with a public option.)