posted on Dec, 15 2018 @ 08:28 AM
It doesn't matter how many times this is explained. There are people that simply will not or lack the intellectual prowess to understand. It's
simple really. Because employers have steadily shrunk employer-paid healthcare benefits over the last decades, and because the cost of healthcare has
risen dramatically, fewer people were able to afford coverage. Naturally, this was most prevalent in lower economic areas. People, however, still
get sick and without healthcare, they were unable to afford regular, preventative care. So when they DID get sick and sought care, it was more severe
(read: more expensive). Since they had no health coverage (and hence no primary doctor) they flooded hospital emergency departments. Emergency
Departments are very expensive due to the range of care they are required to provide and consequently the cost for these otherwise routine visits was
unnecessarily expensive. Much more so than through a PCP (which, without health coverage, they were unable to have).
Hospitals were not reimbursed for much of these visits. Charges for procedures had to be raised to cover for the losses and some of that was
passed-on through the insurance companies thereby driving-up health coverage costs for everyone else in a vicious cycle. Hospitals were increasingly
being forced to close at an accelerating rate --- particularly in the less affluent and rural areas. In order to prevent the escalating collapse of
the healthcare system, more people needed to be able to afford coverage --- especially preventative care.
Let's look at it another way. Let's say grocery stores are legally required to provide food to customers whether or not they can pay (as hospitals
are). Let's say you live in a lower economic area where fewer people are able to pay for food. Your grocery store is going to start taking losses as
the amount of free food they provide increases. At first they raise prices to the paying customers but their suppliers place a limit on what they are
allowed to charge ( as the insurance companies do to hospitals). Eventually they will go out of business. Now you need to drive twice as far to get
groceries. But eventually the same thing happens there so you have to drive even further.
That's why they came up with the ACA. Perfect? No. But shoving a rag into a hole in a boat isn't perfect either. But it will keep the boat afloat
until a better solution can be found.