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ObamaCare Clusterfuck: MA connector has higher than expected costs for some, especially the poor

Health Affairs abstract:

We surveyed families participating in unsubsidized plans offered in the Massachusetts Commonwealth Health Insurance Connector Authority, an exchange created prior to the 2010 national health reform law, and found high levels of financial burden and higher-than-expected costs among some enrollees. The financial burden and unexpected costs were even more pronounced for families with greater numbers of children and for families with incomes below 400 percent of the federal poverty level. We conclude that those with lower incomes, increased health care needs, and more children will be at particular risk after they obtain coverage through exchanges in 2014. Policy makers should develop strategies to further mitigate the financial burden for enrollees who are most susceptible to encountering higher-than-expected out-of-pocket costs, such as providing cost calculators or price transparency tools.

Wow, shocker. Remember that MA Connector was the first implementation of the Heritage Plan that was designed to head off single payer and later became ObamaCare, and that whenever ObamaCare supporters wanted a success story, they would point to it.

Let's assume for a moment that price transparency is the answer, instead of -- just to pick an idea at random -- health care as right, Medicare for All, and the purchasing power of the Federal government brought to bear. ObamaCare won't be able to provide price transparency, as this post shows, and one reason is the lack of "calculators" and "tools" for out-of-pocket costs.

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Rainbow Girl's picture
Submitted by Rainbow Girl on

I don't know if this was intentional, but the conclusion of the abstract reads exactly (literally) like an abstract reporting on a pharma medical trial.

"We conclude that those with lower incomes, increased health care needs, and more children will be at particular risk after they obtain coverage through exchanges in 2014.

As with a clinically tested new drug, ObamaCare Exchange Coverage has now been found to pose "particular risk" to the population most in need of the "product."

So basically we have post-marketing surveillance of the prototype for Obama's signature ACA product ("Insurance Exchange Policies") that these things directly harm the health of the patient consumer, rather than heal it.

Obama's ACA officially (and directly) violates the Hippocratic Oath of "First do no harm."

How dare he call it a "health care" program.

Rainbow Girl's picture
Submitted by Rainbow Girl on

"Health Affairs" (instead of "Heath Affairs") ... only noting because it's such an excellent post that will surely travel :)

(Unless "Heath" is an a propos play on words signifying the horror of the "health" falsely advertised to be "delivered" through the "products" discussed in the underlying abstract. Though I can't think of any way that a beautiful heath could serve that purpose :) :) )

Submitted by lambert on

ObamaCare is a gigantic medical experiment performed on the American people without their informed consent. No medical professional should participate in it, because of the ethical violation.

Rainbow Girl's picture
Submitted by Rainbow Girl on

... refusal to participate in the Noxious ACA Experiment on the grounds of lacking informed consent should -- if challenged -- be defended in the courts on the twin bases of (1) the cases brought (belatedly) on behalf of non-consenting subjects in government drug trials (remember those?) and (2) the conscientious objector cases relating to WWII, Korea and Vietnam.

Rainbow Girl's picture
Submitted by Rainbow Girl on

... Your point about how medical professionals should refuse to participate on the basis that it would violate their Hippocratic Oath is absolutely on the mark and should propagate (Physicians for National Health maybe?).

Separately, We the Subjects (non-consenting guinea pigs (or probably deliberate targets in this case)) have strong grounds to refuse participating by purchasing Loser Bronze (or being shunted into Total Loser Medicaid). Because Freedom and Conscience!