Exactly. It's still Medicare for the elderly, Medicaid for the poor, employer-based insurance for most of the rest, and individually purchased coverage for the smattering that remains. The ACA just makes improvements to each.
Governors refuse to pass on savings to their constituents and the RWs blame Obama.
Insurance companies find ways to cheat people and the RWs blame Obama.
Amazing to me is that so many RWs now side with big businesses that gouged them in the past and want to be able to continue doing that.
As to the OP - I've posted it before but yes, we've seen savings as well as refunds.
I just hope Hillary is elected. Otherwise, we'll all be stuck with the Repub's answer to health care - shut up and die.
Agreed that big business is really screwing us and Obamacare has provided the Vasaline.
People just don't get it.
We spend 8,500 per person per year. Until that number changes, we are in deep trouble.
The only way to change that, is to increase the cost on patients, or put in place price controls, which will result in shortages.
Which solution would you like?
There are many regulatory and tax policies that influence the heatlhcare market. Isn't it worth re-examining them and repealing those doing the most damage?
Sure, but whatever limited impact of minor regulations and taxes have, the ultimate problem is going to boil down to either imposing price controls, or increasing the cost on consumers.
See the problem is, the only way to get the market to start competing on price, is to force the consumers to pay that price.
Under any system, anywhere in the world, that has government, or some non-customer entity paying the cost, the result is naturally that consumers are going to get the best possible care they can, regardless of price.
If a patient is given two options, this generic brand 5-year-old medicine that is 93% effective, for $5, or this newly released medication from Mega-Pharma Corp, that is 95% effective for $50.... which does the consumer buy?
Well in a free-market capitalist system, the customer would determine that 2% effectiveness is not worth an additional $45.
This would in turn force Mega-Pharma Corp to compete with cheaper alternatives on price.
This is where the left-wing usually makes the mistake. They assume that Mega-Pharma can just make up any price they want. That normally isn't the case. You have to invest money into methods of production that lower cost.
However, under any kind of thrid-party payer, whether or it is government, or the insurance company, that system is ruined.
Instead the customer has the medication from Mega-Pharma Corp subsidized by either the insurance company, or the government, to $10.
The result is Mega-Pharma has no incentive to find ways of producing the pills at a cheaper cost. If they successfully upgrade their production facilities to reduce the cost by half, they would simply earn less money. There would be no more additional sales, because the price to the consumer is the same price.... $10. So for spending millions to invest in cheaper production, they would earn a return on that investment of zero.
And this goes across the board, throughout the entire health care system. As long as the customers are not paying the cost of care, as long as either government, or insurance, are paying the price instead of consumers, no one has any motivation or incentive to find cheaper ways of providing service.
This is why if you go to hospitals throughout the world that are capitalist free-market 'pay-for-service' hospitals, where the customers are paying the full price of care, they are a fraction of the cost. Heart By-Pass surgery, $120k in the US, and only $10K abroad. How? Because they have incentives for finding the cheapest way to get the surgery done. They have to compete on price and quality with thousands of other medical tourism hospitals around the world.
Our hospitals don't. You walk in with Medicare, and you pay very little, so what reason does the hospital have to find cheaper ways of providing surgery?
So by all means, find and eliminate all those costly regulations. But ultimately, we either start shifting more and more of the cost onto consumers, or we engage in price controls and deal with shortages.