GOP must rein in prices or Obamacare repeal and replace will fail
Obamacare has not delivered on its promises to provide health insurance for virtually all Americans and lower costs, but
According to the
Requiring Americans to obtain coverage - through their employer, by purchasing policies on government-run exchanges or enrolling in
However, individuals added to the health insurance rolls on exchanges are using more services than anticipated, insurance companies lost considerable sums in 2016, and premiums are up about 22 percent for 2017.
Small businesses that were insured before the Affordable Care Act lost access to more cost-effective policies that permitted owners and employees to pay for everyday expenses out of pocket and through tax-sheltered health savings accounts, and rely on insurance for large unexpected bills.
For most Americans, the ACA has created an unfair, two-tiered system.
In contrast, well-off Americans can subscribe to concierge services that charge high annual fees for access to primary-care physicians, who offer same-day appointments, telephone consultations and assistance obtaining access to specialists quickly.
The German system of private insurance, like Obamacare, requires virtually everyone to obtain coverage, but costs for medical services are more tightly controlled. For example, regulators price new drugs according to how much they improve treatment over existing medicines.
Northern European countries spend about 11 percent of GDP on health care (whereas
The private mandate could be eliminated by charging non-elderly adults, who do not maintain continuous coverage, a fee when they apply for private insurance.
However, permitting insurance companies to sell insurance across state lines, as
In the end,
Otherwise, the
Credit: By Peter Morici For the
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