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Tuesday, July 3, 2012

AFFORDABLE CARE ACT

I must be missing something, maybe several somethings. Why do so many of my peers & friends detest and oppose the Affordable Care Act? Many people who are either Medicare eligible or federal retirees or both have, if they will admit it, benefited from aspects of “socialized medicine” for significant portions of their professional lives. Yet they now lambast the decisions taken by the country in 2009 and subsequently to extend the availabililty of medical care to large portions of the populace. Why? I do regretfully understand the position taken by some in the 20s – 30s age groups who prefer to roll the dice on their current state of good health and avoid the cost of insuring that it continues. That is and should be their “right”, perhaps. Except that the whole concept of insurance has always been that resources are produced by large portions of a population for concentrated use by isolated individuals when unplanned needs arose. And while a person may choose to go without automobile insurance coverages that address replacement or repair of their car if damaged, they cannot likewise decline liability coverages for dealing with what happens if their wreck damages someone else’s car and injures others. In this vein, I could agree with the libertarians that people should be free to pay or not pay for health insurance. If . . . and only if the hospitals and “the people” were free to decline to treat the uninsured. I also am totally missing the argument in the news the last few days that the ACA represents such a huge “tax”. Which specific taxes are set to rise?? And by how much? The “penalty” or “tax” for those who opt out of the “mandatory” coverage would affect a fairly small segment of the population. But what other taxes besides that will be exploding?

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