As the Republicans in the House of Representatives attempt to repeal the 2010 Patient Protection and Affordable Care Act, I’ve decided to revisit what the issues in health care are and various strategies to address those issues, both within act and alternatives proposed by Republicans. There are some very good sources on stats and facts (as opposed to opinions and speculations) available via the Internet. I’m going to rely upon these sources: state.healthfacts.org from the Kaiser Family Foundation; Health Reform Source, also from the Kaiser Family Foundation; Centers for Medicare and and Medicaid Services from the DHHS; and the Dartmouth Atlas of Health Care.
I think that everybody agrees that the problem with health care in the US is that costs are rising, pricing Americans out of the market, and threatening Medicare. At the same time, morbidity and mortality rates have not improved. Major disagreements occur over strategies to control costs, improve health conditions, and predictions about the future.
83% of Americans “pay” for health care through insurance, be it private or public (Medicare & Medicaid). The act, as delivered is health care insurance reform.
Here are the simple facts on insurance coverage in the US. I’ve chosen to compare New Mexico rates to the US rates.
Employer provided insurance varies in coverage and employee copays. Smaller companies are less likely to offer insurance. Companies whose employees’ wages are lower than average are less likely to offer insurance.
I find it very ironic that the poorest workers who are least likely to be able to pay for their own insurance and health care are the least likely to be given health insurance by their companies.