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Response to riverine (Reply #5)

Sat Jul 6, 2019, 02:40 PM

9. Too much of the ACA has been overturned or left to individual states

For instance, in Florida, my home state, Medicaid expansion was not accepted by the Legislature, so a lot of people were left out of coverage - my brother in law, for one. Right now state attorneys in Republican controlled states are close to having their wet dream of completely overturning the ACA, and panicking about being responsible for removing coverage from millions without a replacement.

This is why alternatives are being discussed - the ACA was a compromise and will likely be killed because it is "Obamacare" and the right wingers hate anything to do with Obama.

Some people lost "their" doctors when the ACA went into effect, mostly because the doctors made the choice to not accept ACA policies. Many retirees are forced to change doctors who elect to not take Medicare. Even with private insurance, people have trouble keeping "their" doctors - when my husband had employer provided insurance we had to change providers when the company supplying the insurance changed and their approved providers changed.

Unless you are paying out of pocket for completely private insurance not underwritten by an employer, you are at the mercy of whatever they decide to provide - and even if you are paying for your own private insurance policy, you are at the mercy of what that insurance company decides to provide and to cover.

Your questions are absurd - as my post title said, private insurance and private doctors will never be "illegal" - there will be different systems in place to cover people, some of which can involve private insurance. The same way it works in nearly every other developed county.

This site: https://www.internations.org/go is aimed at people considering relocating to various countries around the world. In the discussion of each country they get into detailed descriptions of various aspects including healthcare. If you want to check on private healthcare insurance treatment in countries with nationalized healthcare, this is an excellent resource.

For instance:
The Swedish healthcare system is publicly funded and largely decentralized. The government has taken great measures to allow every resident access to heavily subsidized healthcare services, among the most affordable in Europe with services for under-20-year-olds being free of charge. The quality of these services is also reflected in the high life expectancy of Swedes, which is over 80. In fact, nearly 20% of the population is 65 or older.

Sweden reinvests approximately 9% of its GDP on healthcare every year. The central government, county councils and municipalities share the responsibility to provide people with good quality medical services. The Health and Medical Service Act (Hälso- och sjukvårdslagen, HSL) gives county councils and municipalities more freedom in this regard.


Healthcare Improvements and Private Insurance

What has also proved effective is the healthcare guarantee, which was introduced in Sweden in 2005, promising to reduce waiting times for treatment or operations to a maximum of 90 days. If this time is exceeded, patients are offered care elsewhere, the cost for which, including travel costs, is covered by the patient’s county council. Due to this guarantee, 78% of patients felt they received the care they needed in 2013.

Despite this high level of satisfaction, one in ten Swedes have private health insurance, however this is largely provided by employers to attract high-level employees and is by no means necessary for living in Sweden. It is, however, important to remember to take out private health insurance if you are a non-EU citizen and to ensure that it is valid for your time living in Sweden.

That, in the most "socialized" countries in the world at the moment.

I did respond to your questions - private health insurance and private doctors will never be illegal. The idea that they might be made illegal is a right wing talking point and is fucking ridiculous.

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