[quote]X-Runner wrote:
This is actually a good question.
Since regulations are set up, there is going to be some transfer of wealth.
And there isn't a clear answer.
Hospitals will gain some because almost everyone that comes in will have an insurance plan that will pay for their emergency care.
Before, they would just eat these costs or effectively have to charge more for paying customers.
But newly covered people may go to the hospital more quickly than before, causing higher staffing needs.
Insurance companies will have pluses and minuses.
They get more customers which is usually a good thing.
They will lose money on some of the customers and have bigger margins on others. It depends on how many pre-existing sick people they get vs. healthy people.
The government has costs of setting up the exchanges and providing subsidies. But they will save with more people paying in and not having to subsidize uncovered people.
I think the currently insured will be better off with a larger pool of insured people to spread the costs.
Current sick people are "making money" on this as they now can get coverage that means they won't go bankrupt with out of pocket expenses.
I think employers on average will make money on this if premiums go down because of more wide spread coverage.
There will be a large focus on the minority of businesses that may have higher costs because of this.
Hospitals are not adding staff, cut cutting staff. Have you not been keeping up with all the cuts. Secondly, insurance companies will simply raise premiums to cover all those pre-exisitng conditions - nothing is free.
Less people are applying to medical school - meaning the quality of care will decrease - why would any brilliant person spend all those years in medical school, incurring hundreds of thousands of debt to enter this mess.
The medical device tax will cause less research and development to occur, therefore, slowing new innovations.
Agree that healthy young people will pay the brunt of the increase. Their premiums will skyrocket.
My brother works for BC/BS and has had to deal with ACA's implementation. It has been a nightmare from an IT standpoint - the Obama administration doesn't have a clue what they are doing. The reason the insurance companies had such a difficult time getting their systems ready is because the Obama administration kept stalling and changing their minds as to the rules. He was not at all surprised that the national website has been a disaster.
In addition, the real premium increases are coming next year when the delayed employer mandate takes effect. I have no idea why you think premiums will go down for employers. You are living in a fantasy land if you really believe that. Just the opposite is going to take place.