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Tech In the Hot Seat For Oct. 1st Obamacare Launch
bednarz writes "In four days, the health insurance marketplaces mandated by the Obama administration's Affordable Care Act are scheduled to open for business. Yet even before the sites launch, problems are emerging. Final security testing of the federal data hub isn't slated to happen until Sept. 30, one day before the rollout. Lawmakers have raised significant concerns about the ability of the system to protect personal health records and other private information. 'Lots and lots of late nights and weekends as people get ready for go-live,' says Patrick Howard, who leads Deloitte Consulting's public sector state health care practice."
Yes, there is a point to this.
It may well be a long time before the Republicans have enough votes to get a repeal through the Senate. The way Demographics are headed, the Republican party of today will have to evolve significantly to stay relevant beyond this decade. And what Republicans fear about Obamacare more than anything else is that once it's implemented, people will decide that they like it, making it impossible for them to repeal it (much like Medicare and Social Security).
Nope. In a few years you'll see Tea Party demonstrations with placards like "Don't let government get its hands into my Obamacare!".
Here's the facts. I am a resident of British Columbia. I pay about $127 per month in Medical Services Premiums. For that I won't be given a bill at any hospital or any doctor if I have a medical issue. If I need a scan or some other diagnostic test, I will not be billed. Furthermore, if I end up needing healthcare in Prince Edward Island, I will still be protected.
Shoot, that sounds fantastic! Why can't we get something like that here in the U.S.?
Because we got FREEDOMS!!!!
Anyways, find a way to get the patient to actually care about the cost of their medical services, and you'll see the prices go down.
No, you won't. In fact, you'll see prices rise.
There are two cases in which someone would seek medical help -- life-threatening situations, and non-life-threatening.
In the vast majority of life threatening situations, people aren't going to care about the cost. You've heard about the stages of grief, right? Well bargaining's a big one. Most people will do ANYTHING to get just a few more years, or months, or days. They'll throw money away on homeopathic crap and colloidal silver and psychic voodoo. People don't generally go gently into that good night, and shifting more of the cost on to them won't change that.
But in non-life-threatening situations, people will look at the price tag, and decide that they don't need to see the doctor so bad after all. And so curable illnesses go untreated, and become far more dangerous. They might be contagious and spread their illness. They might lose a limb and end up unable to work and on the public dole. They might die. That might reduce costs in the short term, but in the long run the cost to society is far higher.
And what, you don't think the US system has a ton of horror stories. My run-in with serious illness was my wife's thyroid cancer, and the only real delay was because the initial symptoms aped salivary gland blockage. Within days that that specialist figured out that it was a probable tumor (initially they thought a carotid body tumor), we were driving to Victoria to see an ENT (ear-nose-throat specialist) whose specialization was cancerous tumors. She had surgery a few weeks later, which identified it as a thyroid tumor, and the big delay for removing the thyroid gland (total thyroidectomy) was that she had to heal sufficiently from the initial surgery.
Yes, there are delays and rationing, but really that happens in any system. In the US, in many places, rationing is basically defined by the size of your wallet. In Canada and other countries with universal systems, it's defined by utilization.
The public health system saved my wife's life, and other than her need to take thyroid replacement hormone for the rest of her life, she has fully recovered. Furthermore, I was laid off right in the middle of this nightmare, and the end result was that there was no bankruptcy or loss of our house.
I'll take the odd delay in treatment over no service at all or going bankrupt to save my loved ones' lives. If you like the American system so damned much, I urge you to move there.
The world's burning. Moped Jesus spotted on I50. Details at 11.
These "freedoms" and more are available... but they come at a price.
For instance? No problem...
The county where I live offers an anus-puckering discount on poor families wanting to buy a home (imagine this - being offered a decent home in a neighborhood full of $250k homes for a mere $27k at 0% interest. No, that's not a typo.) Only thing is, the county gets to stop by and make sure you're still poor during the 5-year 'mortgage' period, else the rates and total price rises accordingly. Oh, and CPS gets to check in on your kids any time they want, among other governmental visits that would otherwise demand a warrant.
Groceries? No problem, present an appropriate sob story and proof that you lack income, and most states will lavish you with an EBT card. 'course, unless you get creative about how you dodge it, there's an approved list of foods you can and cannot buy.
Car payments? Well, most metro areas do subsidize free mass transit if you make less than a certain income level... but really - it's mass transit. That means you're stuck with living within walking distance of it, and no further.
How does this relate to healthcare? Well, there are folks already demanding that people be forced to wear health activity monitors if they want that subsidized health-care... but you're forced to buy the subsidized plan if you cannot otherwise afford it on your own, so guess what happens if you have the misfortune to be impoverished? Yup - the government now owns your health.
Long story short, the "freedom"s are there, but the dependencies and (IMHO) conditions you subject yourself to in order to receive them are, well... about to become rather dehumanizing.
Quo usque tandem abutere, Nimbus, patientia nostra?