The Affordable Care Act is an excellent concept which pools most Americans into the health care system. Yet, only if it follows basic insurance theory will it be successful (theories and rules which republicans do not mention). The primary theory is that it is best to pool risk amongst the largest group available. Secondarily, you must make sure that pool is not encouraged through "adverse risk", the idea that those who may persevere are those most likely to be "at risk". This secondary theory now threatens Obama's implementation of the ACA.
Bureaucrats, in the rush to meet the ACA deadlines, along with delayed pursuit by States, Insurance Companies, funding from Congress, debating in Congress and amongst bureaucrats, and delaying tactics employed elsewhere likely has impacted backend testing of the highly complex system proposed in the "Website" and "Back End" systems necessary to include Health Insurance Companies with various premium rates X the number of states X gender X Age X Income X premium support X various other values in a complicated matrix.
I would urge everyone to take a breath. Few people, initially, could ever correctly answer a complex mathematical question the first time around. Certainly, rushing to market was not a wise choice, however it was necessitated by those who would prefer the ACA never see the light of day. Yet, it is important that those who believe Affordable Access to Health Care is important to encourage others that without the ACA, health premium increases would be growing substantially faster than it currently is.
Without ACA, we would have not have a solution for 45 million uninsured Americans except emergency room visits at 300% of the regular costs.
In the next few years, without the ACA, internationally, American companies would be at an increasingly distinct disadvantage in economic competitiveness due to rapidly rising health care costs from those 45 million uninsured. Hospitals simply spread that cost to the paying public. America is the only country in the developed world where companies bear significant health care costs for their employees. In every other country, it is borne across the breadth of its citizenry.
The ACA provides a framework of inclusion, a method of managing rising health care costs, it assists to mitigate disease through normative care programs, it saves jobs, helps our companies remain competitive in the global economy, while helping those who did not have access to health care.
All in all, a very good law. The technology just has to catch up to the concepts.
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