The proportion of uninsured Americans has started to inch up again, after falling for several years post-ACA. But why? The Trump Administration has been doing what it can to chip away at the ACA’s foundation, but without any major legislative victories. And it seems that this trend predating this, anyway.
“A recent estimate of the connection between a lack of insurance and mortality suggests that for every 800 people without insurance for a year, one will die — meaning that 4,000 more people may have died during the year than would have had they been covered. That increase in the percentage began in the first quarter of Donald Trump’s presidency.”
Continue reading Health Policy Updates: January 20 2018
This thought piece in the NYTimes’ Upshot column uses an analogy of a football team eating at an all-you-can-eat buffet to describe the problems of adverse selection and moral hazard as they relate to the ACA/Obamacare insurance exchanges. The author (Margot Sanger-Katz) doesn’t use the term “death spiral,” but that sure seems to be where the concerns she raises are leading…
“The restaurant analogy is useful here, too. Imagine two all-you-can-eat buffets. One offers iceberg lettuce, chicken wings and macaroni. Its competitor offers the usual fare, plus lobster, and it charges a bit more. Guess which buffet will attract lobster lovers?…That sort of problem can get worse over time. As the companies increase prices to compensate for having sicker patients, fewer healthy people will buy the insurance.”
It appears that Donal Trump has put his money where his mouth is in terms of supporting the anti-vaccine movement.
Continue reading Health Policy Updates: October 2 2016