“The talk on Wednesday was broad, with little mention of the financial mechanics needed to propel such a massive program. But Sanders’ plan does address one of the stickier questions facing such proposals: how to phase out the current system, which depends primarily on employer-sponsored private plans, without creating a disruption in care.The answer, according to this new version of the bill, is to roll it out over a four-year transition period, a process Gillibrand and her office had a big hand in crafting.
The law would beef up Medicare — adding dental, vision and hearing aid coverage — in its first year, while reducing the eligibility age to 55. Children, up to age 18, would also be offered immediate access to the government-run plan. Over the next two years, the Medicare age would drop to 45, then 35 years old. By the fourth year, everyone would be eligible.Despite the considerable legislative obstacles in its way, single-payer as a concept is gaining traction among the public. Some 53% of Americans support a national health care plan, according to a June poll by the Kaiser Family Foundation. That’s up from 50% last year and from 40% between 1998 and 2000.” I like what the ACA or “Obamacare” is trying to be, government regulated and subsidized private health insurance that is affordable. To my mind that is a healthcare system that should appeal to both liberals and conservatives because it is a “hybrid” between single payer and free market private insurers. The problem with the ACA is the exchanges. There are not enough healthy and paying customers for the private insurers and the government isn’t subsidizing them enough to make a profit. The problem is the employer based health insurance. If employers stopped providing health insurance then everyone would go to the ACA exchanges which would drastically bring down the deductibles, premiums and co-pays. It would be a blessing to employers to no longer have to provide health insurance for their employees. The ACA can be fixed without going back to unregulated private health insurers that didn’t cover pre-existing conditions or going forward to the problems of a “single payer” heath care system.