ACA and AHCA: Don Berwick Breaks It Down
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- Опубликовано: 1 июн 2024
- © 2021 Institute for Healthcare Improvement.
Health care has taken center stage in the last few months in the United States. From debates on Capitol Hill, to town hall meetings, to non-stop media coverage, topics like insurance coverage, Medicaid expansion, and payment reform have been on everyone’s minds.
No matter your view, we believe a common understanding of the issues is critical.
It is in that spirit that we share this video from Dr. Don Berwick. Berwick, President Emeritus and a Senior Fellow at IHI, explains the changing health care landscape in terms that are both simple and comprehensive. What’s the future of the Affordable Care Act? If it’s “repealed and replaced” by the American Health Care Act, what will change? What's the difference between the two?
Berwick originally gave a version of this lecture at a Leadership Alliance Meeting in May of 2017. Reactions from Alliance members encouraged us to share it more widely. We - and Don - hope you find it helpful:
Thank you! I'm a senior in college writing an essay on the ACA and this made more sense than my professors and many other sources online. A great gift to an overwhelmed student in 2020 :)
HI Katelyn, same feeling here. What was your essay about? I am studying the policy enactment process from an agenda-setting perspective. I hope you went through it successfully. Cheers!
You are a Senior Citizen
How about just pay the bill given that is what Joe Biden stated... that is the trump Irish side of Biden.. the German side of trump is too modest
update again please , sir!! for 2019-2020
yasssss
I second that!
I third that😂
Update for 2021 please
Everybody I know pays double or more premium, higher deductable and often less coverage since ACA.
That because the Republican Congress and the insurance companies are sabotaging the ACA,they won't let it work.,
That is so crazy! I get health insurance through my work for free as a benefit. The prices for families do kind of look ridiculous but I have never paid for health insurance before so I don't know what is reasonable. I've been at my job for 9 years with free insurance and before that cover under my parents (I'm 32 years old and single). My deductible has gone up but everything is covered as preventive, so I rarely see a bill, just a $25 co pay. I've been to urgent care several times, specialist, primary yearly, do labs every year, sometime multiple times a year. I hardly see a bill for more than $100 after insurance since so much is covered. ACA has been great for me. Feel bad it's not working for everyone else.
@@deltaduke1157 there might be some truth to that, but cant blame republicans for individual mandate. And there is no such thing as free healthcare. I Work and live in Denmark now. People think they have free healthcare, but lowest tax rate is 39%.
@@Marbles53 Thanks for your comment! I dont understand how ACA has effected you if you have coverage from work?
Kristoffer Ward because there’s two parts of Aca. One that offer more insurance to people like the insurance plans people find on .gov website or Subsidizing insurance. And another part where the government made insurance companies cover more on their policies. Aca had made my private insurance better because they now require insurance companies to cover preventive care for free. Which surprisingly a lot of stuff is covered under prevention and why I barely see doctors bills. I also was able to stay on my parents insurance until I was 26 because of Aca. Allowing me to have insurance while I went to college and was able to find a job with great benefits.
I like how all the good doctors are leaving the ACA. Just had my PCP AND ENT both leave this year because of issues with payments last year. Now I have marketplace insurance that is useless to me.
I think you are also missing the point for the people who now have to pay their premiums we can not afford to pay. We are essentially picking up the tab for all the people who are getting their coverage for free. The Deductibles are now the maximum out of pocket so the insurer is not paying a dime until you have paid your maximum out of pocket, but are charging extravagant premiums. You were way to one sided on your topic. There are huge issues with the ACA for the premium paying public. Paying upwards of 700 a month and then still having to pick up the full tab when you go to the doctor why have insurance??
I agree with you. Good comment. Thanks for sharing
Private health insurance in principle will have a focus on a profit motif which is much more likely to pay for elective procedures over necessary ones. As a business owner I would avoid any liability any way I can. While private health insurance is great for the very wealthy able to buy luxurious plans yes it is better. For treatments that cost serious money insurance will always try to weasel out of it.
Lee Zorn in your opinion, what kind of health insurance is best in your opinion for you and your employee? Private or would you prefer government run?
When we had private insurance through a company it was very affordable and covered everything, I mean everything!
When they switched over in 2012-2013, our premiums went from 160/monthly to 600/monthly. Our deductible also went from 1000/family to 3000/family.
It became cheaper to buy catastrophic coverage from a sharing ministry and pay all costs out of pocket.
Now the marketplace is an absolute joke.
With no mandate it will disappear soon, group coverage is now becoming very affordable with very good coverage.
This sadly, will leave very sick people struggling to get coverage if they arent already covered because healthy people do not want to pick up the tab.
I have basically quit hoping to the doctor all together I go once a year to get me Blood pressure medicine refilled if they want any thing further I decline. You got the doctor visit charge the lab charge the pharmacy charge, the specialist to read your test that you never met or spoke with charge. My last visit was over 500 dollars and I supposedly have a 15 dollar PCP cost. Well that visit woke me up. I have completely stopped my follow-up cancer screenings. Who can afford 800 dollars for a cystoscopy every 6 month not me for sure
Fantastic explanation...wondering if would consider an update?
Watch the trailer for the new documentary "Diagnosing Healthcare" here: ruclips.net/video/WEfqEJwOF-Q/видео.html
I've surveyed a /bunch/ of video summaries on the ACA and this one is definitely my favorie. Thanks!
But it fails, like all the others, in neglecting to explain that insurance adds some 25% to the already-high costs of medical services and drugs. Ask yourself, would you rather supply your own sex partners, food and wine or buy insurance from the gummint that promises to provide them for you for a 25% overcharge?
What I don't understand is the lack of emphasis
on preventative health care and education. Consider this: the average cost for
a coronary bypass is ~$75,000. Now that people are living longer, patients are
returning for their second and third bypass procedures! We learned from the
Framingham Heart Study that heart and vascular diseases are not only
preventable, but reversible in most cases. That's right, patient’s that did not
alter their lifestyles, needed repeat bypass procedures. The same is true for
preventing strokes, diabetes (Type II), hypertension, obesity and lung cancer,
not to mention the morbidity associated with inflammatory joint diseases. What
exactly am I referring to? Education on the proper amounts and types of
nutrition, exercise and smoking cessation. These are the leading causes of preventable
morbidity and death in the western world. You do not need a PhD in economics to
see that prevention is far more cost effective than intervention. I guess you
don’t need a PhD to work for an insurance company either, since they, with the
support of the GOP, want to abolish preventative health care services out of
the so-called American Health Care Plan. Thank you, Dr. Berwick.
nutrino I totally agree with you! Excellent comment. Thank you.
There are lots of healthcare economists who maintain that preventive care does not pass a cost-benefit analysis. The current trend is to change your car's oil less, not more, frequently to save in the end. And colonoscopies are not recommended for seniors over age 75.
"The doctor of the future will give no medicine, but interest their patient in the care of the human frame, diet, and the cause and prevention of disease."
$75.000? Does this price include gold plated cardiac valves? That's insanely expensive. In countries like the UK, Germany or The Netherlands such an operation wil cost you around $25.000 at most. Looks like de health industry lobbyists in Washington are pretty good at their job.
Thank you for this explanation 👍
This was an excellent breakdown.
He failed to mention that a byproduct of the ACA was to push the door wide open for employers to provide limited or no more employer healthcare benefits, thus forcing many of the working class and middle class “workers” into the exchanges where the exorbitant prices (due to ACA driven community rates) made our insurance UN-affordable, while we foot more of the bill for others (being subsidized by US and the Government - via more of our tax dollars). I’m not advocating for less fortunate folks to not have healthcare but I am extremely outraged that the government driven changes jeopardized/eliminated what little affordable healthcare we had previously and then shifted it to someone else... leaving us with the “unaffordable” care!
Wonderful explanation. Everyone must take the time to listen and understand this important topic
Candidates running for office in the 2020 election acknowledge that the system is flawed, but only offer binary and poorly-conceived solutions. Even if successful, a new president will require congressional approval.
Watch the trailer for the new documentary "Diagnosing Healthcare" here: ruclips.net/video/WEfqEJwOF-Q/видео.html
Money come from Federal government? Yes, but Affordable Care Act is you chip in for the poor people and people wants abortion, medicine is so expensive, patient pays 80 percent I did. Affordable Care Act is so expensive
@@ecargsmith5792 it would probably be even more expensive if AHCA is passed
Government intervention in the free-market is the major reason for our healthcare problems in America. Over-insurance is another problem that has lead to the rise in prices. More government intervention is only going to increase the problems in our healthcare system. We need to get back to free-markets and get rid of the overuse of third party payment.
Yup, let's forget about the poor people. This will solve a lot of problems.
Very well explained
Well explained. Consistent with the readings I've done for this class I'm taking.
Risa M what class is that? If you mind me asking.
Very helpful and informative. Do an updated one and one on single payer and universal healthcare
Hi Mary - we've got you covered: ruclips.net/video/hQV4SZic0lE/видео.html
Thank you. Great information.
Very clear parallel between ACA and AHCA drawn. Loved the information and the style of communication. Three Cheers!
Check out the new documentary "Diagnosing Healthcare" here: ruclips.net/video/WEfqEJwOF-Q/видео.html
It's like saying help my neighbor pay for his kids. I don't think I received that conversation when I was younger that I would be responsible for people I didn't know.
Crack down on outta control prices!
It’s not perfect? I guess they should have read it before passing it. The government has done such a bang up job with everything else they’ve touched, why not healthcare? That’s going to work out well.
The first thing that happened when they said, companies must pay all full time employees healthcare instead of offering partial credit. So companies decided to get rid of full time employees and hired part time employees and give no benefits.
And then people that were already paying through the nose for insurance got the special prize of paying twice as much for less coverage with a higher deductible..... how again is that better for less?
Oh but let’s not forget, it’s such a great program the Congress that passed it won’t be affected by it because they have special insurance for free already. Why not give that to the people?
Anything Obama put his seal on is designed to screw you and enrich himself.
If you really want to lower healthcare costs, stop allowing frivolous lawsuits and big pharmaceutical companies to screw the Americans. And for Pete’s sake quit running to the doctor for a damn hangnail. Our system has also been abused by foreign people flooding in illegally and not paying the bills afterwards. It’s not that hard to fix so long as we get politicians that actually have brains.
COVERAGE DOES NOT EQUAL CARE!!!!!
Right you are! I live a life free of self-insurance, having long since learned that the main beneficiaries are pregnant women (and pregnancy is NOT an illness!), the breeders in general, and the risk-averse. I prefer to use my intelligence and efforts in order to play the cards I've been dealt and resist assisting those who prefer to spend Other People's Money for their breeding, health care and the health care of their (unnecessary and polluting) progeny.
Jim Kirby so when you’re diagnosed with cancer who pays for your healthcare🤔
You are very correct. I've seen first hand how quality of supplies and staffing has drastically decreased. And a question we all need to ask ourselves is why do we want a government that can not agree or work together, and I'm including all administrations, to be in charge of our healthcare funding? There is so much government waste, why would we put them in charge of our health. We will see more of the same, fewer and fewer people putting the time and money into going into the medical field.
Wonderful video. Thank you.
What’s up Mac Lethal
How's canada's health care going? People their are waiting 6mo plus for cancer care, surgeries etc.. they are passing away waiting for surgeries.
I live in Canada and everything you just stated is false. I moved here from the US. We enjoy the best healthcare in North America. US healthcare is a disaster!
@@sinebar Not false! I live right next to Canada and Canadians come here for health care!
@@sinebar there’s literally videos on RUclips of people Getting told they have to wait three years for a simple blood test in Canada . That’s insane
@@sinebar it is true. Canadians have to wait months to years for operations.
@@deepthinking8633 That hasn't been my experience. I have no problems with routine care. I live in Toronto.
What about those who wouldn't use the insurance? Some use alternate choices for healthcare and don't want insurance...
excellent explanation.
Great video
In 2012, we lost affordable insurance altogether and had to go with a sharing program to avoid the penalty. Have never used it, it's cheaper to pay out of pocket.
Now, we are getting better insurance offers now that insurers are not required to issue a policy.
They are still unaffordable, though. The ministries ha e better coverage and rates.
Hi I am a French journalist i try to understand better this topic could we have a Lil talk ? Thank u !
there is NOTHING affordable in the care act for me. my premium is 3x from my private, lost doctor, worse coverage, higher deductable....haven't had insurance since i got kicked of my private plan because i can't afford it! was $269 with the "affordable care act" it went up, yes UP, to $780.
That is at the fault of the insurance company
@@vanthom9185 the reason the cost went up is the people that make a little money need to subsidize the people who don't. i don't make that much but apparently enough to make my premium high. has nothing to do with the insurance company directly other than the fact that the federal government is dictating insurance policies! one day my insurance was affordable, the next is wasn't (because of new laws imposed on the population by Obama Care!)
Being a first world developed nation, the most wealthy, most powerful on earth, surely Americans can demand for FREE HEALTHCARE. I mean free, no insurance, nothing to pay. You have a medical condition, walk into any healthcare facility and get world class treatment. I once had an emergency in HK. 1st day of Chinese New Year. We went to Tsimshatsui hospital (govt owned). Patient had fever; we were not allowed to leave after medication was administered; we were told to stay around for more than an hour so they could observe the patient's progress.... after the 2nd check, it was midnight. How much was paid? HKD1.00.
that money has to come from somewhere, nothing is ever free. the argument right now is, who should be paying for the freebie leechers?
Can I sue the United States government, if through their Medicare for All program misdiagnoses me or has given me the wrong treatment that has caused harm to me? Thank you.
Can you sue a cop, paid to protect you, for failing to protect you? NO. Your life, your defense from crime, your health and your education are in your hands. Your gummint is interested in keeping you as dumb as possible so that it can justify over-taxing you to provide what Jeff Bezos will soon deliver right to your door.
*alot maple*
10 months late, but let me try to answer. While I don’t know how the lawsuits would be technically handled, the hospitals and doctors remain privatized. So, I imagine you would sue the private hospital for a mistreatment or whatever, not the public insurance company (the government).
@@jimkirby9959 you can actually can as long you have legal evidence and you a strong case against him in court
This Obama Affordable Health Care has been hurting more hard workers in America as we speak, I worked 7 days per week and still did not qualified for this Insurance and I end up has no insurance because it has been a real fraud. We need to bring back the old way for all workers working hard and employers help those workers to be insured.
Interesting, I'm 28 years old and new to the healthcare debate, and I would say this was a great explanation, but I wonder why you waited till 16:19 to discuss the tax increases to fund medicaid expansion (while this was not mentioned earlier in the video) and exactly what these are. I don't have a take on ACA (yet), but I have heard from some people who felt the tax increases on high earners were onerous and were a compelling reason for Republicans to repeal the law. I have also heard of the ACA described as a tax on the rich to offer medical services to the poor.
offer medical to the poor and for abortion too is it? so meaning if I have to buy for insurance I have to chip in for the poor and for abortion.oh I see. No wonder I pay more money after my insurance . I have to take responsibility to take care for other people, that is nut. ACA is not even legal on the face of the law, Obama can sign any order but is it this can be , covering more people will cover poor people and for abortion. Not me. Yes, bundle payment including those people do not have a job and I struggle two jobs to pay for my insurance and my bills. I do not want to pay someone else problem, I have to take care of my own family and my self.
@@ecargsmith5792 Yes I use this argument against my father whenever I get in a debate over this with him.
@@orcpeon4520 but these people you don't wanna help are actually helping you. A lot of them work in factories to produce things you can buy, cleaning the streets for you, work in farms for you to buy food etc... they have lower wages. They help you and you help them = all people help each other for a better life. If they get sick you'll get less things because they can't work for you. Simple as that, low wages people are very important for the country you have to take care of them. Period.
Moe. Moe.codgamer true, but if it’s something that everyone uses it should be taxed. I.e. trash getting picked up, city cleaners, lights for the city. If it’s a market where people want different things then it should be up to the market not socialized.
I have heard that taxes are necessary for any modern society to pool some resources and build infrastructure to function. I also have heard that most people like roads, schools, healthcare, etc. for everyone and don't want to go back to living in caves.
Basically, my premiums tripled because insurance companies were no longer able to charge higher premiums to older people or higher risk people. So, normally healthy people were on the hook for the difference.
If we as Americans want a blended healthcare system we must do it at the state and not the federal level... States must live within their means as they can not print money! Start with a small sales tax, income tax and corporate tax increase while continuing to allow private insurance. Allow providers to offer simple insurance plans directly to their customers. This will force insurance companies to make joint ventures with these providers or go out of business!
States won't do it. That's why FDR started federal programs.
For it to work, everyone will have to be on it. That's not something Americans are willing to do unfortunately.
So, if everyone thought health insurance sucked before, it sounds like it sucks even more. The only way to get better health insurance is through a group, like with work, Knights of Columbus clubs, etc. Nothing changes at all.
M4A
You are essentially correct. My wife and I retired early after a lifetime of sacrifice. Not of Medicare age our insurance policies premium is north of 20k for the most budget friendly options which covers so little that we need to be prepared for copays of 40-50 each time we visit. BTW, dentist and eye care are all from after tax cash as well. Welcome to the American "dreams from my father"!
Doctors were over worked and burned out. Takes huge amount of taxes. We were already paying into medicaid and Medicare. Unfortunately, we are also paying for the care of individuals whom come from other countries illegally. I have a friend that works in a hospital and tells me how people come in drunk outta there minds or on drugs and after treatment dont pay at all. Smh
He looks at least 60. How much will his health insurance cost. The new plan permits insurance companies to charge older people up to 5 times more than younger people.
Yep, it's just our governments (GOP) way of saying thank you for being a life time American, fighting in wars, working all your life , building this country and contributing to retirement programs; now we're going to hose you on the last thing you have, which is your health care coverage. It doesn't matter that you're on fixed incomes, have varying chronic health conditions and may have special health needs. Yea, go ahead and feed us to the wolves in the heath care market place, we don't mind, we're going to die anyway. That's how the GOP makes me feel.
@@JohnSmith-gs2rv Because "young people" can also become sick, totally outside of their own fault. Or simply because young people perhaps tend to take a bit more risk in sports where perhaps they break an arm/leg. Or young families might be lucky to expand their family with children (which often requires a hospital to give birth), and perhaps your family might grow to multiple children. Young people might go on a nice outdoor hike and accidentally trip and break an ankle (and that might require a rescue team to come and get you from a mountain). While on average older people might have different healthcare needs than younger people, look around you and see how many younger people you know have needed medical care regardeless if it was their own fault (breaking a leg while skiing) or outside of their own control (cancer). The whole principle behind any insurance is that you need to have enough healthy people pay into it, so that when an individual goes from healthy to unhealthy, there is money there to pay for the cost. Let me end with a quote I like that applies here: "Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune the cost of which should be shared by the community."
@@JohnSmith-gs2rv I'm in agreement that healthcare spend rises when you get older. But in my opinion you need to look at this not from your own individual situation, but rather from a system point of view. For the moment, look past the individual payment you are making. Instead, look at the system you would favour - and once we have consensus on the structure of the system, then let's look at how to make it affordable for everybody.
A disclaimer: I'm half way between early career and pension, and live in Netherlands. My monthly healthcare insurance is $120 (with an annual deductible of $400). And it doesn't matter if I'm 30, 40, 50 or 60. It is not age dependant, that is just the cost of the insurance. I find that a totally acceptable amount. Now if it was $1000 a month, I would have serious problems with the amount, but I'd still agree with the structure of the system itself. So separate what you pay from the discussion of the system of health insurance.
Insurance is the way we manage risk. Insurance works when enough people that don't require healthcare in a give year (young and old people) pay their premium so it can be used to cover the very expensive bills of those unfortunate that did fall in that year. I am pretty sure that in your circle of friends you will know people below the age of 45 that have received a cancer diagnose. Not because they did anything wrong, or anything different than you, but it just happens. For some that might also mean loosing their jobs in addition to facing a very expensive medical journey. That is why you have insurance, to manage (and protect yourself) from those financial risks that are too big to deal with. That is the system I believe you/we should be aiming for.... and yes, it then needs to also result in actual dollar premiums that are considered fair/acceptable.
I'll end with saying that you can of course take a very individual view of society where you only pay for what you really need/use... in your example healthcare for young versus old. But remember that people that never use public transport do pay for it, and people without school going children (old people) do pay for the K-12 schools. People that don't play sports still pay for the community sport fields and people on public transport still pay for the roads. I feel society is better served if we have a system that isn't focussed on what matters only to the individual at that moment in time of their live. And to me that includes ensuring healthcare insurance is available to all (at a fair/decent price) regardeless of the situation of the individual. I hope this makes sense. Either way, thanks for the exchange of idea's.
being one of the 150 million Americans that's about half the country that makes the hard choice chooses a job that other people don't want to work at to have insurance I'm insulted by the way the government is expanding. a friend of mine who has a daughter named Grace who needed special back surgery and care for her degenerative bones at 13 years old and is in a wheelchair lost her doctor because of Obama lying about being able to keep your doctor. I have what they consider a platinum healthcare plan meaning we work real hard and pay extra money for better health Care and they want to tax my health care plan $2,500 a year taking from The haves and giving to the have nots is not what our country is about when the government does it it's socialism when I as an individual give to the have nots it's called charity and that's how giving works best the government is not to take and redistribute we have enough government taxation it is turning into abuse period and this guy doesn't do anything to be fair and honest. I love it when he said "marketing" medical plans to younger people period yes that will help health care conning younger people into paying for something they don't need. If you don't see he's a fraud you might be a low IQ voter.
If 'every one of those' defects can be fixed why tf aren't they doing it
Really amuses me how politicians are taking away the health insurance where millions of people (even unemployed ones, and those with pre-existing conditions) are dependent on. And why people where happy that individual mandate was repealed when it helps their fellow citizens. Healthcare is a right, not a privilege. Even more amusing, why politicians are more welcoming to private “for profit” health insurance companies when in long term, a national health insurance makes preventive health and treatments more affordable. Repealing without “better” replacement or worst, no replacement at all...
Okay
Americans...Health Care cannot and will not work as an Insurance Product. If you want to take care of each other..well, then just take care of each other. A program where everyone contributes and a publicly run body governs it, is the answer. Get over consumerism when it comes to health care.
E K You said it wonderful single payer system, all pays and all benefit
don't force people to do things they don't want.
@@SleepngSpeedngDriver and to that they will say
Dont let consumerism be an excuse to let thousands of people die a year because they cannot afford it or even get access
Very informantive! sickening really.
In other words, low income get very little insurance.
Why Obamacare Doesn't Work As Promised .... @ ....
Obviously Political explanation. Did not address the welfare implications or the responsibility issues that people want to pass off as responsibility payments by the responsible people. The only beneficiaries I have seen are the terminally ill or the uninsurable people who now have some type of insurance. And the responsible citizens are picking up the tab with severely increased premiums with much worse insurance and high deductibles to where it cost more for just regular doctor visits. The answer lies in going to a fully private free capitalized system. This means no caps on the medical school outputs. There are many more people who would be happy to be a doctor making $300K per year than the "limited" number of doctors that can make $700K per year. The drug industry could use some fairness and common sense reform, also.
Go run for office or build a conglomerate of businesses to cause social change.
M4A
a fully private system will end up being run by the chinese eventually. you can't let capitalism run your medical system. capitalism doesn't care about people, only profit.
ACA plans are insured through a different insurance pool than yours. You premiums may have gone up because of coverage for pre-existent conditions.
Kids under 26!!! 20 to 26 are NOT KIDS!!!!
We are
millenials are kids....haha.
If you make 60k family of 4 your shit out of luck . Try to make 27,999 yr then ur in the the sweet spot but wont own anything.
Trump was right at the time to change the ACA
I will save everyone roughly 18 minutes...this guy like Obamacare and doesn’t come clean on the issues with it. Some COMMENTS below bring up such issues. Obamacare reduces quality and raises costs. And the notion that the federal government will “negotiate” for lower prices is absurd. The government is too detached from reality and is structured too inefficiently to be able to effectively do so.
What about those of us whose health insurance costs tripled??? Don't tell me, let me guess... You're a democrat🤨
Healthy family of 4 with BC/BS in 2019 cost for premiums was $36,000 and deductible was $4,000. Couldn't afford it any longer.
You see the problem with all of this is regardless to if we have Obamacare or not we are the one that swallowed the cost , they apply for emergency medical and we pay for that, and the hospitals bare the cost, the taxpayers also for their healthcare anyway so why is it a problem for them to have to contribute to having to pay their healthcare. I work and I make decent amount of money and I can still say my insurance does not pay for many things my deductible is now over $2000 before the insurance starts to pay off
You got that right...
@@bree11ful49 I pay almost $40K a year for BC/BS for a healthy family of 4... and my premiums have gone up 300 percent and my deductible has gone up almost 200 percent. This is not what we were told when we (all taxpayers) were pitched Obummercare. See the rub? Oh yeah, it is a tax. Yes, I am a native Washingtonian and am aware that hospitals pay for free healthcare to inner city poor people and then the private hospitals turn around and ask for Fed help, but at the current rate when does it end. I personally don't know many people that can afford $40K/year for health ins. That's more inline of a mortgage payment. Just my opinion. Don't like to argue, so no venom here.
thanx for you leftist views i still don't want it....
There’s a lot of left out information in your presentation. You talked a lot about the great things of Obama care but neglect to exploit the negative things. Such as decreased quality of care, patients being turned away due to Obama care, generic prescription given, test refused due to the governments definition of excess and the list goes on. Be honest with your viewers.