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View Full Version : ACA to cost $84 Billion less than originally thought



CedarPhin
07-28-2012, 09:08 PM
Per the CBO and The Economist, the best news magazine of all time.

http://www.economist.com/blogs/democracyinamerica/2012/07/health-care-reform?fsrc=scn/fb/wl/bl/crystalballoffice


THE Congressional Budget Office (CBO) excels in making predictions. It is its primary mission. Quite often, those predictions must change. Things come upófor example, there was the small matter of a certain Supreme Court decision in June. This week, for the first time since the courtís ruling, the CBO adjusted its projections (http://www.cbo.gov/publication/43472) for spending under Barack Obamaís health reform. The number crunchers had two main changes. The courtís decision meant there would be 3m more uninsured Americans in 2022. The net cost would drop to $1,168 billion from 2012 to 2022, $84 billion below projections before the Supreme Courtís ruling.

Discuss.

Tetragrammaton
07-28-2012, 09:37 PM
The Economist is always top notch. Should be required reading for people who want to talk seriously.

Love or hate this bill, it has many financial incentives.

Dolphins9954
07-29-2012, 06:44 PM
It's still a crap bill.


http://www.finheaven.com/images/imported/2012/07/dogpoopcarwalmart-1.jpg

trojanma
07-29-2012, 11:04 PM
The Economist is always top notch. Should be required reading for people who want to talk seriously.

Love or hate this bill, it has many financial incentives.

Totally agree on the economist. I am a subscriber.

If I were a supporter of the ACA I would not go parading this fact around.
This is actually a disaster(for the aca) that will have broad implications. Either the governors will buckle and take the medicaid money or the heart of the ACA is dead unless it is changed therefore the estimate changes.

Let me give a little background first.
Generally speaking Medicaid is a state run program that covers children and their mothers. It is extremely bare bones and many private practices don't take it but it provides a vehicle for basic care to those below the poverty line.
The ACA was going to subsidize the expansion of Medicaid to all people who are in poverty.
Under the aca middle class folks will get healthcare through work or will be able to get a government subsidy for individual private insurance. The subsidy works on a sliding scale, but stops at those who are below poverty since it is assumed that they would have gotten Medicaid.

As some republican state governors are saying no thanks to a federally subsidized expansion of Medicaid for the people below the poverty line this leaves a huge hole of people, who happen to be the poorest, uninsured.
You can't simply extend the sliding scale because the cost would balloon and heavily subsidized private insurance isn't really the best thing for folks in poverty.
Either way the "savings" are an illusion because the source of them should be unacceptable to the supporters of the ACA.

Eshlemon
07-31-2012, 01:48 PM
Only the beltway can tell us estimates of increasing government spending 1.70 trillion and policy and taxing revenues 12.5 is great at saving 84 billion against the deficit! How about lets cut the ACA spending in half and save 650 billion?

To paraphrase Carl Sagan mankinds future is in jeopardy as long as the Earth remains humanity's only home. Time to take action with my NASA Act. Will be costly at a trillion, but with the payroll FNCA and policy changes that will bring in 1.1 trillion in revenue. We are going knock an entire $100 billion of the deficit!

CedarPhin
07-31-2012, 02:02 PM
Space exploration would be an awesome way to get money flowing. Might get some excitement from the populace too.

trojanma
07-31-2012, 02:42 PM
Mitt really needs to stop travelling. I think the jet-lag is warping his mind.
Now in Isreal he came out in high praises of Isreal's single payer health care system that does more with less than the US.

Or perhaps the republicans are so busy trying to outmanouver Obama's triangulating strategies that they found themselves on the other side of the circle.

http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/07/30/romney-praises-health-care-in-israel-where-strong-government-influence-has-driven-down-costs.

NY8123
07-31-2012, 03:13 PM
This makes perfect sense to me, as this bill did from day one, it takes away government burden and accountability for low income Americans and it pushes more middle class folk into the private sector allowing medical heath care providers to profit even more.

Some how everyone on Capital Hill won on this one, the lobbyist got their increased revenue flow, the government lost accountability and all at the expense of the American people and their dollars. What a classic case of taking it in the ass without lube.

trojanma
07-31-2012, 03:37 PM
This makes perfect sense to me, as this bill did from day one, it takes away government burden and accountability for low income Americans and it pushes more middle class folk into the private sector allowing medical heath care providers to profit even more.

Some how everyone on Capital Hill won on this one, the lobbyist got their increased revenue flow, the government lost accountability and all at the expense of the American people and their dollars. What a classic case of taking it in the ass without lube.

You are wrong my friend. Not quite sure where you are getting your facts from.

The ACA is not going to be a benefit to doctors. It is actually going to bankrupt many small clinics since it essentially asks them to see more patients for the same pool of money.
1. Medicaid patients are net money losers to small clinics because the reimbursement by the government is so low. That is why many private practices don't take them as patients(this also applies to medicare to a lesser degree). Increasing the fold of Medicaid patients will only strain capacity of non-profit/state clinics even further(since the private clinics wont take them). There is a huge lack primary physicians in this country and with a massive expansion of coverage that problem is going to get a lot bigger. Where are all these patients gonna go?
2. ACA is going to freeze/reduce payouts by medicare essentially forcing physicians to see more patients to break even.
3. Hospitals on paper should break even as less uninsured people will offset the reduced payouts.
4. The big winner seems to be Insurance companies who will get many more customers and had to make only cosmetic changes as a concession.