Recovery and the Unfulfilled Promises of Obamacare
Nov 6, 2023
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This podcast explores the unfulfilled promises of Obamacare, discussing rising health insurance prices, gaps in the system, and the need for reform that puts individuals in control of their healthcare decisions. It also examines the relationship between health insurance and universal healthcare, the impact of falling prices on making healthcare more universal, and how health insurance affects the patient experience by focusing on negotiating prices instead of providing transparent pricing.
Obamacare failed to deliver on its promises of affordable and universal healthcare, with rising premiums and backdoor discrimination by insurance companies.
To increase healthcare affordability and universality, prioritizing price reduction and making patients price-sensitive is crucial, as proven by experiments conducted by employers.
Deep dives
The Broken Promises of the Affordable Care Act
The Affordable Care Act (Obamacare) promised to protect patients from unaffordable medical bills and make healthcare more affordable and universal. However, the law has not lived up to these promises. Health insurance premiums have risen dramatically, even for people who could previously afford insurance. Insurance companies have engaged in backdoor discrimination, making coverage worse for people with expensive medical conditions. The law did not prioritize patients' rights to make their own healthcare decisions and control their healthcare dollars.
The Need for Price Sensitivity in Healthcare
To make healthcare more universal, reducing prices should be the primary focus. Experiments conducted by employers have shown that giving people less health insurance makes healthcare more universal. By making patients price-sensitive, they began demanding price information from hospitals and shopping around based on price. This forced hospitals to lower their prices for specific procedures, leading to more affordable healthcare. Falling prices expand access for more people, reduce the population needing assistance, and allow individuals to save money on medical care.
The Problem with Excessive Health Insurance
Excessive health insurance discourages price transparency in the healthcare industry. When patients have too much insurance coverage, healthcare providers rely heavily on negotiating prices with insurance companies, while patients have little control. The government's encouragement of excessive health insurance through tax codes and programs like Medicare and Medicaid has reinforced this system. Providers prioritize negotiating with insurance companies rather than providing competitive and transparent prices to patients. The patient experience revolves around the needs of providers and insurers, rather than patient-centered care.
Michael Cannon details why the promises of Obamacare would be better delivered by giving consumers dramatically more power over health care dollars. Cannon's new book is Recovery: A Guide to Reforming the U.S. Health Sector.