Monday, March 4, 2019

Columns: Reduce the cost of enrollment in health insurance costs

Until recently, the country is working to provide health insurance for more people. The Trump administration, however, did his best to reverse the trend, and it imposes us.

By the end of 2017, 28.9 million Americans under 65 without health insurance, a bigger increase in 2010, when 48.6 million were not insured, but the uninsured number of Americans would increase. The Congressional Budget Office projects that by the end of this year, 32.9 million people under the age of 65 will be insured. The amount increased to 35.9 million in 2020 and 40.9 million in 2021.
This is a big problem because I will explain. It comes as the Taxation and Taxation Act, passed in December 2017, removes the individual mandate which is part of the Affordable Care Act. On the contrary, the number of registered people and premiums is increasing.
Some students, whose earnings are rising, are no longer eligible for government assistance and can not afford the premium. In addition, federal funds have been reduced for navigation, people who help enter the application process.
What is the reason behind repealing individual mandates and trying to control BPR in general? Expenses. CBOs projected in November 2017 that canceled individual mandates would save $ 338 billion between 2018 and 2027. But conservatives have no problem in the next month to provide a taxpayer of $ 1.5 trillion, which utilized largely 1 percent.

Beyond the cost, conservatives simply do not believe the government should be involved in healthcare. As The Economist placed it on December 11, 2016, the publication, BPR “is a type of redistributive economy anathema” to Republican ideology.



“It’s about freedom,” Sen said. Rand Paul, R-Ky., In mid-2017, “whether we are Americans should be free to buy what kind of insurance we want … And it’s either the individual knows the best or the government knows best.” With his income, Paul is capable of all the autonomy and insurance he wants.

Bad things happen when people do not have health insurance. The Institute of Medicine estimates in 2002 that more than 18,000 Americans between 25 and 64 die each year due to lack of health insurance. A study published in the American Journal of Public Health in 2009 found that nearly 45,000 people in the same age bracket died in 2005 for reasons related to lack of health insurance and those who were not insured had a 40 percent increase in risk of death.

Why is the higher death rate? Uninsured people are more likely to go without the health care they need. When they try, they often go to an emergency department. They lack the usual health care source and, consequently, do not receive preventative care. Fortunately, this problem diminishes when people become eligible for Medicare.

Here’s how David H. Gorski, a member of the surgical oncology at Karmanos Cancer Institute in Detroit, says: “I have seen more women than I can remember who are waiting much longer than they need to see a doctor for their breast cancer because they can not. able … when they are finally present, their tumors are larger, more difficult to treat, and are more likely to kill them. “

While the Emergency Medical Treatment and Active Labor Act 1986 requires hospitals to provide emergency treatment to anyone regardless of the ability to pay, the emergency room is designed to handle acute problems, not providing preventative care.

Because the hospital needs to eat the costs associated with the treatment provided under EMTALA, the goal is to stabilize and transfer patients. Gorski reminded her days as a resident who had surgery at a hospital in the area they “joked about a phone call on Friday to transfer patients who failed a wallet biopsy.”

Conservatives at Capitol Hill want to justify their position on the principles of the small empire and personal autonomy. That kind of virtue comes easily when you are adequately and healthyly insured.


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