Affordable Care Act は、2010 年に法律に署名された連邦法であり、国の医療制度の抜本的な見直しを導入しています。この法律は、連邦政府に、米国の医療サービス プロバイダーと保険会社に対する重要な規制権限と価格管理を付与します。この法律の画期的な条項には、保険会社が既存の状態を理由に個人への補償を拒否することや、家族を通じて補償を受けていない個々の子供に対する保険要件を拒否することを禁止する保険命令が含まれていました。この法律はまた、個人、家族、中小企業が民間の保険プランを購入できる健康保険取引所を設立し、維持することを州に義務付けました。保険に加入していない個人は、年次納税申告書とともに罰金税の対象となります。罰金条項は、2017 年の減税および雇用法で覆され、個人の命令に違反した場合の罰金が廃止されました。
@2JMMXBN3歳3Y
We got screwed, we should have had a single payer system. Our pharmaceuticals are off the charts, and should not cost us as much as they do, and our health care cost are the same, the whole system needs to be revamped, and it's part and parcel of big business running things.
@2JLG52B3歳3Y
Yes, but they need to help to make the cost much lower... For example my coverage gets an $8 discount and is $250 a month with that discount. I am in the lower class scale an i can no longer afford to have insurance, which is the first time in 6yrs. I have to have insurance due to sever athsma an can no longer get my meds or see my doctor now since they increased prices on plans due to the A. C. A changes
@2HW2YMF4歳4Y
No. I know many more people who lost coverage they had (and could afford) than were able to get affordable insurance. But getting rid of Obamacare now would bad because all the companies that used to cover their employees (that don't now) wouldn't cover their employees again. This cause even more people to lose coverage.
@2HVXD533歳3Y
Healthcare should be afforded to all without high costs premiums or copays. The affordability of healthcare in the US is outrageous, all employers should provide free healthcare to their employees and insurance companies shouldn't be allowed to change so much to companies. There should be caps put on insurance companies and pharmaceuticals should be sold at decent costs, considering medicaid can be made for pennies.
@P265NH3歳3Y
I do not understand it enough to make a judgement. Everyone should be able to have health insurance. But not everybody can afford it. Not everyone qualifies for Medicare. From what I have experienced over the years with Medicare, Medicaid, and Social Security, there are too many flaws that should be corrected. I have been abused by the system. At ag3 73, I have been fighting the system since 1988. Is that fair?
@NZJ4ZX4歳4Y
@NYHYJW4歳4Y
There should be a better system for health care for those who can not afford it. But it should not interfere with the medical business, other people's private insurance, and definitely should not be run by the government who cannot even keep control over its own finances. Government should create incentives to private companies to develop affordable health care programs by giving tax breaks.
@NXM64B4歳4Y
I believe the health care system is in need of reform, but the Affordable Care Act puts the insurance business and the federal beurocracy in front of the patient/doctor relationship. There must be something done regarding coverage for pre existing conditions, and an affordable policy for the poor, but the current plan is neither affordable nor efficient.
@NX48YN4歳4Y
I believe some competition should remain in existence. While I don't agree with ALL aspects of the Act, I do believe that insurance reform is not enough. There must be some type of negotiation with medical equipment providers, pharmaceutical companies, and hospital corporations to reduce costs on that end.
@NWTCCL3歳3Y
they need to regulate the medical charges so they are not so high. and all people should be able to have insurance no matter how much money they have poor need health care also. use taxes to pay for it. It should be a flat rate per person per house hold and insurance companys should not be able to say you can't have a medicine or procedure that a doctor has ordered.
@NWHNPT4歳4Y
Health Care Availability is essential to the successful conduct of Business and Commerce in each state and every other-legal sub division of the country. The Affordable Care Act is the first step in providing Health Care Availability at Reasonable costs. this will improve productivity and increase our competiveness and reduce costs.
@NW3XJG3歳3Y
Medicare for all with the option to purchase supplemental private coverage for those well off enough to afford it. At 3% administrative overhead under Medicare versus as much as 20% or more administrative overhead under private insurers and given medical care consumes approximately 17% of GDP the savings would translate into access to basic care presently unavailable to many and improved care for those gainfully employed.
@NW2BMP3歳3Y
look its a fkn joke also we can have health care for all .and heres how you fund it. 3 to 5%sales tax on all heath and beauty products from toothpaste to tampons, perfumes all of it do the math and you will see that it works out in 3 to 5 years every thing is paid for we are to vane to stink and not look good..
and no more tax breaks for any corp or company flat tax of 10%
@NVW2N33歳3Y
The medical profession should be controled to prevent the system that now exists from createing a disaster. Now the Doctors receive kickbaks from drug manufacturers and hospitals for providing business. The insurance policies are exploited by the patients with chronic illness and used to provide a haven from the world without real need being exhibited (Hypochondriacs fill our hospital beds.
@NVSM3W4歳4Y
Make it single payer state level, revenue from a sales tax, no insurance companies, no one else should be involved in a person's health choices, all charges from providers should be public and posted, everyone charged the same price for the same procedure at the same institution, all medical services and drugs should be non-profit, medical supply/devices for profit in order for competition. Obscene to profit on illness, it makes management of conditions the most profitable and cures the least profitable. STOP KILLING US SLOWLY so investors make the most money off of bankrupting the people.
@NVGVJM3歳3Y
No, open the markets so insurers can compete across state lines and drive down costs; The government should not be involved in the medical business save for light regulations as prescribed by the Constitution; thus it is a state issue based upon the 10th Amendment
@NTR3G53歳3Y
Although I initially thought it was a great idea, it is turning into a nightmare for uninsured individuals. It is more expensive than promised, you can't keep your doctor as promised. Needs a massive amount of study and changes before it will be viable and give our citizens what they were promised.
@NTLJL73歳3Y
I would like to see the free market regulate the outlandish cost of medical care. Why does a MRI cost me $1500 in the US, other countries can do it for $90. And I don't need a team of doctors to read the thing for me. Make health care more affordable, no real reason it should cost as much as it does.
@NT2B4S3歳3Y
No... because the people who designed it have no clue about how to run anything... TORT reform, capping payouts for malpractice, asking the top CEOS of the Pharmecutical companies, the hospitals, the insurance companies to come up with a plan that they think would be most beneficial to resolve this challenge; NotNnancy Self Aggrandizer Pelosi and her cohorts who have ruined the state of California and are about to ruin the whole country as well...
@NSFLY94歳4Y
Yes, I support it. it is an important step in the right direction. The United States, hopefully sooner than later, needs to invest in a true national healthcare system. One that encourages innovation with a focus on quality of care, rather than motivation based on dollars. We fight so hard for the rights on the unborn, yet fail to see the value of providing free comprehensive healthcare for ourselves.
@NS5J264歳4Y
Obamacare is not the solution. We need to stop hospitals and physicians from over treating and overcharging patients. These huge nonprofit entities are literally raking in millions. A simple blood test should not cost $450. Patients should know up front what the costs will be before testing is done. Drug manufacturers should not be allowed to make minor changes to a drug delivery system and roll it out as a new drug. We need to simplify medicine rather than continue to grow government intervention. Insurance companies should not be allowed to deny claims on superficial differences in interpretation. Physicians should not be paid on production. This encourages them to order additional testing, increase visits, etc.
@NS4R964歳4Y
Medical costs should be controlled - not by putting the cost on the individual. So long as the product, medical care, can be as costly as the hospital wants it to be, with no one questioning it, the individual will continue to pay more and more. It is a insult to me to say health care is affordable. It is not.
@NR9R4G3歳3Y
We need better regulations of the insurance industry. We need INSURANCE reform, not "healthcare reform." We need to allow the self employed and small businesses to have access to the same rates and level of care covered by insurance as corporations, big business and government employees.
@NR7YHR3歳3Y
It should not be obligatory for citizens to have health insurance. It is fine for the government to offer and support health insurance programs, but to suppose that all citizens want to be treated, when sick, by the "modern medical-industrial complex" is false.
@NR3XBL3歳3Y
We need an affordable care act. The old system didn't work. But to pass legislation this important and expensive without evaluation, testing and review was a monstrous breach of fiduciary duty by Congress. With all we've spent fixing it, we can't walk away, but every congressman who voted for it should be impeached.
@NPR2BF3歳3Y
The private insurance companies should have been left alone. What should have been done is instiute a FEDERAL medicaid system (instead of the state one we currently have) that would allow people who can't afford the insurance and also the ones with preexisting conditions to get medical treatment. This system would be much like the ones in the European countries unlike what Obama and his team have come up with.
@NNXSF43歳3Y
No, but work with the states to first look at ways to assure access to treatment for immediate life threatening medical events and communicable disease, and then look at ways to make affordable preventative care and elective care - including requirements for transparency in pricing and balancing the way doctors, hospitals, insurance companies and employers/other collective purchasers such that competitive market principals are at play. Note: the key metric should be access to treatment - not insurance - insurance is but one solution path.
@NNRPXQ4歳4Y
The penalty fee should be abolished if one can't sign up. If someone isn't working, how can they get health insurance let alone pay the penalty fee? As a single person, I would have to pay close to $150.00 a month for health insurance. That's a lot of money if your only getting minimum wage. It's impossible to pay a high premium when there's the other cost of living to contend with on a small wage.
@NNBFPK4歳4Y
I agree with several aspects, but overwhelmingly disagree with others. As a spouse of one working in for a major health care provider, I'm aware of how all of Obama's backpedaling is screwing up something that wasn't fully prepared to be launched.
@NFNRB83歳3Y
I think the US should provide Medicare to every US Citizen and allow Insurance Companies to offer plans similar to the Medicare Advantage plans that people could choose as an option. Businesses could choose to pay their employees additional costs of a richer plan as an incentive to attract workers or provide Flex dollars but people would still choose their plan. The Government should be allowed to negotiate pricing the same as any other Insurance Company.
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