Obamacare isn’t healthcare. Doctors and nurses and technicians and such provide healthcare, and they will continue, just not so much for each of us. Obamacare is a change in how much we pay for healthcare, in who gets how much of it and in who makes the decisions. It is as the Supreme Court said, a tax; a series of income, sales and excise taxes actually, and those taxes are paid whether or not the services are used.
Obamacare adds an estimated 19 – 40 million (your pick) previously uninsured patients to the workload of existing health providers so obviously, a lot of folks will receive less care so the newly added can receive more. Seniors are already receiving less: Medicare Advantage, the HMO part of the program, pays providers less as of January. Unexpectedly, hospitals are preparing for the new program by laying off staff, so they will be providing less care; they too receive lesser subsidies under Obamacare. (So why are the layoffs unexpected?)
The government’s payments to providers are reduced under Obamacare but the patients’ payments are increased. The “Affordable” in the law’s title is proving ironic. Premiums are increased; so are co-pays and fees for procedures. Somebody has to pay for all those new patients, right? Sure!
Americans seem to dislike doing the math, which may contribute to their 19th place among the world’s developed nations in that subject. We heard that The Patient Protection and Affordable Care Act (Obamacare) would supply more people better care, cheaper. That’s up there with the old slogan: Less is More… You can’t serve millions of new patients with the same numbers of providers (let alone fewer from layoffs) while paying those providers less. Obamacare just expects the patients to pay more, plus of course, all the new taxes. And since our doctors will be busy seeing all those new patients, we will see them less often.
Obamacare is a massive wealth transfer from workers and seniors to the newly entitled, together with a massive reduction in services via rationing, the only feasible means. And it is one more thing, too: Decisions about care that your doctor or insurer used to make, are now made by bureaucrats in Washington for political, not medical, reasons.
So, if your coverage isn’t provided by your employer, sign up to avoid the penalty…as soon as you can.