If you look at the ACA it is built on a funding scheme where the three major components are 1) pulling money out of Medicare, 2) penalties on employers of more than 50 that don't provide full time employees with health coverage, and 3) taxes on the rich....and anybody that uses healthcare, tanning beds, medical devices, etc. Additionally they collect 10 years of taxes for 5 years of benefits.
All those revenue streams are supposed to support between 15 and 20 million people that are currently uninsured and is supposed to be revenue neutral. What happens when more than 20 million people show up for coverage under ACA? Well, the penalties to employers might go up, but the other two portions of the funding scheme can't be expected to increase. The plan will collapse under its own weight.
It was written that way and I don't think the ACA can last much past its first 10 year cycle before we are forced into a single payer plan as the only option. The government will have destroyed any way back.
Can the federal government even fund itself much past the next 10 years?
We fight this thing tooth and nail - we resist!
More Americans will join in that cause than they will a whimpering, foot-stomping parade.
The state media will portray us evil and greedy but we can use the publicity to get out how in the end this will hurt everyone.
Americans are attracted to and follow LEADERS!
I have always said that the grand design of Obamacare was to drive private insurance companies from the marketplace. I agree on the design of PPACA as being a step towards single-payor, but for different reasons.
The first step in PPACA was to increase the loss ratios for private insurance companies by 20%. To make up for a drop in revenue combined with a requirement for an increase in required coverage meant that insurers had to substantially increase their rates. This will spiral even further upward as the remaining provisions of the law go into effect over the next 13 months.
Pelosi and Reid are both on record as saying that insurers who increase their rates beyond a certain percentage will not be allowed on the exchanges. As insurers must be on an exchange to offer coverage to new enrollees, this means that insurers will begin leaving the marketplace as their costs outstrip their ability to generate revenue to cover those increased costs. At some point, probably long before the first decade is up, the government will be “forced” to step in, as the impending national “healthcare crisis” requires them to implement “an immediate solution”: socialized medicine. Yaaaay, we’re saved.
I despise the term “revenue stream” it alway reminds me of somebody taking a whiz.............
I think it was designed to fail and I think Obama's admitted as much in the past. Single-payer was always the goal and he's always seen ACA as a means to that end. ACA will be so miserable people will beg for single-payer and with how things are, Republicans will be blamed for ACA since the electorate has been propagandized for years not that it was a "conservative" plan.