by AgentR11 » Thu 09 Jun 2011, 11:27:43
$this->bbcode_second_pass_quote('Lumpy', 'S')ince I'm the one that started this thread, I would have good reason to cross my fingers for 6 months, then jump on the Obamacare health insurance wagon. EXCEPT I don't see how it can last.
Well actually... I'm gonna side with Obama care on this one. the PCIP, from a net public outlays standpoint is a financial improvement in almost all cases; as the post indicates, hospitals *will* keep a destitute patient in a bed, as long as they have the spare bed to work with; and wrack up huge, real costs that work their way through and eventually to the bottom line of the responsible government parties; while at the same time, can't find a way to grab $10k or whatever for a medical device that will get that patient out of the ICU. And a good chunk of our medical over-expense is like this, people using thousands of dollars of ER based care, when what they needed was a GP and a knee brace, a prescription, or some stitches. Contrary to popular opinion, your GP is perfectly able to stitch up nasty gashes, or put a cast on a simple fracture, the ER is not necessary, but it is used because destitute patients can't use the economically correct solution.
Basically, it fills a hole between regular insured and/or insurable people, and people who qualify for medicaid. It collects some money from them, and it enables access to the economically appropriate services.
It doesn't cost anything that wouldn't have been spent by the public anyway. So I'd expect this program to last, even if other provisions are struck down in court. Or at least, last as long as we can pay US Dollars for our health care services.