Obamacare Passes!!!

[ironsides]

Obamacare has suffered a devastating blow. On Friday, the Eleventh Circuit Court of Appeals ruled that the individual mandate in President Barack Obama’s signature health care legislation is unconstitutional. With its ruling, the court affirmed the principle that the Constitution means what it says—Congress does not have unfettered power to force the American people to comply with any and all dictates it creates.

Eleventh Circuit Decision A Devastating Blow to Obamacare

 

[Tonington]

Read an interesting post about the differences in administrative costs. Turns out that greater choice, such as that in the US health care market, drives administrative costs up in comparison to a single payer system like that in Canada.

Physician Administrative Costs in the US vs. Canada : The Pump Handle

Fast forward to 2011. Casolino and a slightly different group of colleagues (Dante Morra et al) have just published another study in Health Affairs. They surveyed office-based physicians and administrators in Ontario (again, excluding hospital physicians and those with large numbers of self-pay patients) about how much time they spend interacting with payers. For comparability with the US results, they "report adjusted Canadian costs as if the Canadian physicians and staff were paid at US rates." They also created new estimates of US physician practices to include time spent interacting with Medicare and Medicaid, which were excluded from the 2009 results. Here are there results (only means were reported):
​

• Canadian physicians: 2.2 hours per week
• US physicians: 3.4 hours per week
• Canadian nursing staff: 2.5 hours per week
• US nursing staff: 20.6 hours per week
• Canadian clerical staff: 15.9 hours per week
• US clerical staff: 53.1 hours per week

When the researchers adjusted Ontario costs to US salary rates, they concluded that Ontario practices spend $21,335 per physician on interacting with payers, compared to $82,975 in the US.
​

Hrmm.

 

[ironsides]

Administrative costs are another problem Obamacare has not cut anything in American healthcare costs, in fact they are going up. At least the courts have removed that mandatory participation in it for the time being.

 

[Tonington]

Administrative costs are another problem Obamacare has not cut anything in American healthcare costs, in fact they are going up. At least the courts have removed that mandatory participation in it for the time being.

Yes, Obamacare would have been better off expanding Medicare and Medicaid, which are constitutional, rather than forcing people to buy medical insurance.

 

[Walter]

Coronavirus Exposes Obamacare Failures
Ten years of “reform” has decimated our rural health care safety net
https://spectator.org/coronaviris-exposes-obamacare-failures/

But...but...you can keep yer doctor.