The rhetoric both for and against the AHCA tries to mislead and deceive average Americans with talk of subsidies, premium calculations, deductibles, pre-existing conditions and more.
As you decide where you stand, consider the following facts of health benefits life:
- When deductibles go down, premiums go up
- If you mandate covered benefits, premiums will be higher than in their absence
- If you do not permit underwriting based on health status or likely risk, others who seek to buy that insurance will pay much more in premiums than their individual risk factors dictate
- If you do not mandate a diverse pool of insured and allow individuals to determine when they need health insurance they will select in their best interest
- Health care costs via paid claims make up the vast majority of a premium
- If you want premiums lowered, there must be some controls placed on access and/or utilization. Think narrow networks, strong care management, high deductible plans
- Competition between insurance companies is of little value while competition among health care providers may lower some prices.
- Health insurance companies do not make outrageous profits. Their net profit is typically in the same range as a regulated utility
- The high drug prices you see displayed by politicians are retail prices that virtually no one pays. Drug prices are negotiated by pharmacy benefit managers which also develop formularies and promote generic use to lower net prices
- Few people can make objective decisions balancing cost and health care ie. become market driven consumers
Should spending on Medicaid and Medicare be fully open-ended without limits?
Can we accept any forms of rationing of care to control costs?
Can we accept government making decisions affecting our access to health care?
Are we willing to change our expectations for health care regarding convenience, speed and access?
How much interference by a third-party between patient and doctor is acceptable?