Can We Do Better Than the Affordable Care Act?

 

The Campaign for a Rational Healthcare System, an independent nonpartisan healthcare research organization, believes we can--much better!

Read on to find out why we, with no political bias, believe that the ACA--aka Obamacare--is failing to meet its goals, and what needs to be put in its place if we are to have an effective affordable healthcare system that meets the needs of all Americans.

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Broken Promises, Persistent Problems

More than a year after implementation, the Affordable Care Act is failing to solve the three big problems of our healthcare system: escalating expenditures, millions of uninsured, and huge inequities.

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"In an Obama administration, we'll lower premiums by up to $2,500 for a typical family per year" -- Senator Barack Obama, June 5, 2008

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After a brief recession-related lull, healthcare expenditures and insurance premiums are forecast to continue to increase significantly faster than GDP. Government actuaries expect the ACA to drive an acceleration in spending, and project that by 2023 national healthcare spending will be more than $5 trillion, with taxpayers funding almost half the total.

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"Quality, Affordable Health Care for ALL Americans [emphasis added]" -- Title 1 of the Patient Protection and Affordable Care Act.

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Although the ACA has allowed (or forced) several million individuals to gain coverage, more than 35 million remain without health insurance, while many of the 6 million new Medicaid enrollees face difficulties gaining access to care.

At the same time, coverage and costs continue to vary wildly, with little relevance to the needs of individuals. Keeping the same benefits while switching jobs can cost a worker thousands of dollars in increased taxes, while taxpayers may subsidize one senior's care by up to $5,000 more than another in the same city with the same health status.

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"No matter how we reform health care, we will keep this promise to the American people: if you like your doctor you will be able to keep your doctor, period. If you like your health plan, you will be able to keep your health plan, period. No one will take it away, no matter what." -- President Obama, June 15, 2009.

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Many of Obamacare's problems result from the conflict between its lofty goals and the political promises that almost nothing would change. The ACA has helped some, but at the expense of burdening others. Universal coverage is an admirable objective but the ACA's way of forcing individuals to buy private insurance (or pay a penalty), or forcing them to purchase additional coverage, or causing them to lose affordable insurance, or forcing families to enroll in Medicaid, or forcing marginal small businesses to bear the burden of paying for employee health insurance, is a very long way from an optimal approach.

So, is there life after Obamacare?

The Campaign for a Rational Healthcare System believes there can be.

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Go to our BETTER WAY for American Healthcare.

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