Tag Archives: Medicare

Implementing the Affordable Care Act: Why Is This So Complex?


By Alice M. Rivlin – Governmental complexity goes with being the United States of America for two fundamental reasons.

First, we have a long history of relying on private sector markets and resorting to government regulation and provision of services only where markets fail. This pro-market mindset has given us a high standard of living and brakes on centralized power, but it makes governance inherently and permanently complex.

In the case of health care, our commitment to markets prevented us from adopting a national system to provide or pay for universal health care as most advanced countries did decades ago. That was the simple approach.

Instead, we relied primarily on employers to purchase health coverage for their employees in the private market, with the government filling in the gaps. Two big gaps were filled in 1965 by Medicare for seniors and the disabled and Medicaid for the poor.

The remaining gap—people without employer coverage, but not eligible for Medicare or Medicaid—widened while the political system dithered until the ACA finally became law in 2010. The goal of the legislation was to fill this remaining gap without destabilizing the employer-sponsored coverage on which most people rely. more> http://tinyurl.com/m6dzw8d

Related>

Aside

CONGRESS WATCH Ellmers at Energy & Commerce hearing on Medicare Part B cuts, YouTube [VIDEO 2:10] Find Your Representative, US Congress Related articles Updates from Congresswoman Renee Ellmers (theneteconomy.wordpress.com) Updates from Congresswoman Renee Ellmers (theneteconomy.wordpress.com) Updates from Congresswoman Renee Ellmers … Continue reading

Aside

CONGRESS WATCH Affordable Care Act: Numbers to know: 3-year Anniversary of Affordable Care Act (pdf), democraticleader.gov Affordable Care Act: How Healthcare Law Benefits Young Adults and Children (pdf), democraticleader.gov Affordable Care Act: How the Healthcare Law Benefits Seniors and Improves … Continue reading

Aside

CONGRESS WATCH GOP Budget Protects Special Interests at the Expense of Jobs, Key (pdf), Committee on the Budget/US Congress Republican Plan Will End Medicare As We Know It and Force California Seniors to Pay More for Health Care (pdf), Democratic … Continue reading

Aside

CONGRESS WATCH Medicare & You (pdf), medicare.gov Stop Medicare Fraud Open Enrollment Center, Centers for Medicare & Medicaid Services (CMS.gov)

Aside

CONGRESS WATCH Hands Off Social Security, Medicare and Medicaid Summit, [VIDEO 8:11] US Senate Save Social Security, Medicare and Medicaid, US Senate Real Americans, [VIDEO 6:06] US Senate Stop Dismantling Social Security and Medicare, US Senate

Aside

CONGRESS WATCH Pelosi, Michigan Members Put Local Delicacies on the Line in World Series Wager, Democratic Leader Nancy Pelosi/US Congress Letter to Speaker Boehner on Defending DOMA, Gavel/US Congress 2013 Presidential Inaugural Parade home Page, Joint Task Force – National … Continue reading