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Well I think rates will rise, after all its a for profit racket and there is never enough profit. Doctors will not quit, otherwise millions of other human beings would have quit their truly lower paid high skilled jobs. Another words, "It's good to be a doctor"
The cost of medical care will continue to rise with or without ACA.
doctors are already leaving the profession, and those that arent are cutting back on their patient load, many of whom have medicare for an insurance company.
The majority of MDS with established practices are baby boomers, who are ripe for retirement or scaling back their hours. They tend to sell their established practices to hospitals and either cash out or agree to work as an employee for X years, often at reduced hours. And it has nothing to do with the ACA.
Both my primary and OB/GYN have sold their practices and are now employees and enjoying the fruits of their labors without having to worry why Nurse Jane is in a snit or that the receptionist walked out the door to ride a motorcycle across country or that Bob continues to transpose medical codes.
Employers have been free to subsidize group spouse /family coverage or not, all along. Some do and some do not. If they do, it's usually at a substantially lower subsidy rate than for the employee.
Yes I know that. But the general public all they hear is affordable care and all you hear is those making less than 400% of poverty can hit the exchanges and the govt will take care of the premiums.
But full time employee who are offered this type of coverage through their employer are ineligible to get subsidies even if the premiums are significantly more than 9.5% of their income.
What use is having kids on their parents health plans till age 26 if its going to cost the parent more than 9.5% of their income to put these kids on their plans.
The average family of 4 plan is $12000-14000 for next year 2014 and these employees are ineligible for subsides even if they make 30k, 40k etc.
Um, it's just now starting to be implemented.....in your own words why did they wait until 2013 to implement? (Hint: when was the election? Why would they wait until after the election since it's just awesome and will make everyones lives better? )
It's not going to be armageddon but if you think the govt. got something like this right the first try....oh and they let the mega-health insurers write lots of the legislation.....I have a bridge to sell you.
Germany has the oldest universal system, now 130 years old and it continues to evolve.
But your government didn't regulate how many residency spots exist. The US government hasn't increased the funding for residency spots since 1998, so even though we have more medical students than ever before, we cannot add more doctors. That creates a system where doctors have more work to do than ever before, are being sued more than ever before, and suddenly ACA is dropped on their laps, exacerbating all of these problems. US/Canada isn't an apples to apples comparison when it comes to health care.
And the hospitals that employ them tend to be wildly profitable ( NFP states aside) and whine about how they need more funding for residency slots. Is there a reason why government/tax payers have to subsidize resident compensation when the hospitals are making $ hundreds of millions in profit, each year? Isn't the tax break enough?
Ding ding ding ding. We have a winner. Recently had my spouse dumped from health plan.
My former employer dumped all spouses who had access to their own insurance vie their employers and that was 15 years ago.
ACA does not force employers to dump spouses. It simply acknowledges that employers have the right to do so as they have all along.
There is so much misinformation about ACA out there and sometimes the sources are the employers who choose to use ACA as a scapegoat for their own cost cutting.
Yes I know that. But the general public all they hear is affordable care and all you hear is those making less than 400% of poverty can hit the exchanges and the govt will take care of the premiums.
But full time employee who are offered this type of coverage through their employer are ineligible to get subsidies even if the premiums are significantly more than 9.5% of their income.
What use is having kids on their parents health plans till age 26 if its going to cost the parent more than 9.5% of their income to put these kids on their plans.
The average family of 4 plan is $12000-14000 for next year 2014 and these employees are ineligible for subsides even if they make 30k, 40k etc.
There are plenty of people who pay substantially more than 9.5% for their healthcare insurance, right now. The adult child is free to obtain his/her own insurance.
And the hospitals that employ them tend to be wildly profitable ( NFP states aside) and whine about how they need more funding for residency slots. Is there a reason why government/tax payers have to subsidize resident compensation when the hospitals are making $ hundreds of millions in profit, each year? Isn't the tax break enough?
That is exactly my point. The government should not be involved in residency compensation. Every time the government tries to 'help' the private sector, the middle class loses as a result. We are trying to solve a problem in health care caused largely by too much government interaction by introducing more government interaction? How on earth does that make sense?
'The health law sets up a system of state-based online and telephone exchanges that will sell insurance from companies including UnitedHealth Group to people who don't have coverage at their jobs. The law makes government subsidies in the form of a tax credit available to discount monthly premiums for people with low- to moderate-incomes.
Wow... Just how dishonest can you be?
This does not lower premiums, it just robs some people to benefit others.
Obamacare RAISES premiums... It RAISES costs... and hides that cost by robbing some to benefit others and hide the actual costs.
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(Hint: when was the election? Why would they wait until after the election since it's just awesome and will make everyones lives better? 
