The Affordable Care Act has significantly reduced racial disparities in healthcare access, report

Unfortunately the ACA is not the solution, rather a band aid. It's great that some low income people can afford health coverage, but it comes at the expense of someone else paying for it with higher premiums. Fixing health care coverage in this country will take a lot more work.
 
'The Affordable Care Act, passed in 2010 by former President Barack Obama, has expanded health insurance coverage across the U.S. and significantly reduced racial and ethnic disparities in access to healthcare, according to a new report by the Commonwealth Fund.

"Since its passage in 2010, the Affordable Care Act (ACA) has helped cut the U.S. uninsured rate nearly in half while significantly reducing racial and ethnic disparities in both insurance coverage and access to care — particularly in states that expanded their Medicaid programs," reads the report.

Data shows that prior to the 2013 implementation of the Medicaid expansion — a provision of the ACA that made more families eligible for Medicaid coverage — 40.2% of the Hispanic population, 24.4% of the Black population, and 14.5% of the White population were uninsured in America. However, by 2021, those numbers dropped significantly to 24.5%, 13.5%, and 8.2%, respectively.

With more than five million people gaining coverage between 2020 and 2022 over the course of the pandemic, the overall uninsured rate in the U.S. dropped to just 8%, a historic low, according to the report.'


States that haven’t expanded Medicaid should do so.

Cool story, but we still need single payer for all.
 
My doc told me that ever since Virginia (under the dems) expanded Medicaid under the ACA appointment lag times have increased by at least 1/3rd.

As a example my wife's doctor was concerned about something and he wanted her to see a specialist about it....The wait time was 2.50 months to get a appointment. Lucky it turned out to be fine but damn.

We have what could be called "a gold plan" yet we have to get in line behind the deadbeats on Medicaid.

In other countries that have more efficient healthcare systems than ours (and single payer), you don't need to make an appointment in many cases; you just show up and wait, and you get seen. And of course if it's an emergency, you don't have to wait much at all. I lived in Japan for a few years and it was so much better than our system in this regard. The US is better in terms of having more advanced specialists, but we pay for those - a lot.

It's fucken ridiculous that people have to wait more than a few days for anything, but that's because we're playing obediently by the rules of a system that prioritizes healthcare provider profits over patient care. I don't have a problem with doctors making bank, but they're not even the ones calling the shots anymore. It's the fucken hospital executives (many of whom aren't even doctors but are MBAs) and of course, the insurers.

The system is bullshit and why Americans are brainwashed into believing it's worth preserving is beyond me. The system needs to be fucken demolished once and for all. Replace it with a system of primary coverage for any and every person residing in the US, and then have a supplemental privatized system that fills in the gaps. Works well everywhere it's been tried. It would work well here but it would force hospital executives to have fewer private jets and yachts and make healthcare lobbyists under- or unemployed, so there's no chance of that happening I guess.
 
In other countries that have more efficient healthcare systems than ours (and single payer), you don't need to make an appointment in many cases; you just show up and wait, and you get seen. And of course if it's an emergency, you don't have to wait much at all. I lived in Japan for a few years and it was so much better than our system in this regard. The US is better in terms of having more advanced specialists, but we pay for those - a lot.
Japan is a homogenous country, it likely looks at everyone as equals when it comes to healthcare, therefore creating a very efficient system of governing and providing healthcare for everyone. If we were really honest, we could look backwards many decades when this unequal and predatory system was created, and that exclusion was baked in, in fact, that last part could have spurred its creation.
 
Japan is a homogenous country, it likely looks at everyone as equals when it comes to healthcare, therefore creating a very efficient system of governing and providing healthcare for everyone. If we were really honest, we could look backwards many decades when this unequal and predatory system was created, and that exclusion was baked in, in fact, that last part could have spurred its creation.

Good point(s).

I think the main motive is profit, and pro-growth, profit-oriented capitalism is inherently premised on inequality. There's some inequality built in to any civilization structure, but this is particularly the case when the social and political hierarchy is based on individual/household wealth.

Unlike in countries with socialized medicine, we're not reinvesting our premiums (taxes) to improve the system first and foremost; we're paying either to make not-for-profit executives extremely wealthy or to meet/beat for-profit providers shareholders expectations. The profit motive is an inherent conflict of interest.

Case in point, it's increasingly less likely that you'll be seen directly by an MD at your next clinic visit. Why? Because it's cheaper to hire PAs and NPs to handle routine and even non-routine care. Your MD will look at the charts - or maybe he/she doesn't and just signs off on whatever the assistant concludes. It's all about saving $ and passing it onto the consumer shareholder.

I'm basically a capitalist, but not when it comes to certain things. Some things (education, civil defense, healthcare, etc) should not be commercialized. If you want to create privatization that fills in gaps are makes a better mousetrap that people are willing to pay for, no problem with that. But there needs to be a basic system in place that works for everyone first.
 
Ok. So there are more minorities sucking on the free government healthcare tittie.

Hey, I have an idea! Let's invite 50 million illegals into this country and give them some free government healthcare too! Wheeee!

:spinner:
Every illegal immigrant mother who is pregnant gets free pre-natal care. And when they have a premature birth, they get free NICU and premi care which costs HUNDREDS OF THOUSANDS of dollars. That sometimes forces American mothers to travel many miles from their home because of no space available in the NICU near them.
 

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