" Managing National Debt "
* Negotiating Health Care Costs *
I mean competition in medical care so that prices come down. Is this concept too complicated for you? If you feel compelled to change subject you must ask yourself why!
The aca was designed to dismantle government agencies which dealt directly with private health care providers by shifting those responsibilities to private insurance companies .
Individuals who did not have health insurance would be forced to get insurance rather than deciding to visit urgent care when they had to do so and all too often ultimately leaving the bill with the taxpayer .
Health care for the uninsured represents a significant portion of federal expenditures and contributes significantly to the growing national debt .
Those opposed to aca did not want to include insurance in their budgets and it also meant increased premiums for those who did not qualify for aca as the costs to include the additional population would be distributed across the entirety of those insured .
As part of the aca , government negotiated insurance plans for the public as would a private corporation for its employees , which could include competition .
Clearly , the government should not be allowed to collect premiums and make investments in the free market to offset losses , as would private insurance companies .
Clearly , the government can set schedules and control costs of medical procedures while private insurance companies are less likely to consider as costs are passed onto policy holders within the guidelines of optimizing profits without debilitating the market .
It is understood that if insurance negotiated by the government for its citizens and offered through exchanges could compete with the quality and price of insurance plans negotiated by private employers for their employees , such that insurance plans from exchanges would be good enough to keep when an individual moved between employers , then the insurance plans negotiated by the government would be understood as universal plans .
The congressional budget office has yet to answer whether the statistic of government expenditures , where the government socialized those between 100% and 400% of the poverty line through regressive reimbursement , was ultimately less expensive than the statistics of government expenditures where govenment agencies negotiate with private health care providers and pay directly for the uninsured , thought its initial projection was that it would .
The costs of insurance would go back down for employees of private companies if the additional insured were not included , but doing so wil not mitigate the growing budget expenditures and contributions to the national debt arising from medical care for the uninsured .