Quote:You're missing the import of what you are saying. The ACA contributed to the growth of Concierge medicine the way criminals contribute to the growth of police stations. Long before the ACA we discussed direct care models as a response to reduced reimbursements from CMS but no real action was taken because the current circumstances weren't dire enough. What does that explosive growth post-ACA say about the attitudes of both the patient and provider populations today?


And, again, the true limitation on this care model is the government regulations that will deny forms of care to patients who choose it. This is NOT a free market issue, its a government in the way issue.

 

Regarding the bolded...  That's your analysis and opinion based on your ideology.  There is another point of view that discussed the facts regarding healthcare and why an insurance pool is needed.

 

The young are cheap because they are generally healthy.  Therefore, if they exit the insurance pool, you're left with the old and expensive.  You need the mandate to create a feasable pool.  That's the theory.

 

Eventually everyone uses healthcare...  That's also a fact.  But if you don't start paying into the pool untill you get old or hurt, then costs get out of control.  that's why the mandate exists.  Whether you like it or not, that's how they created the thing.

 

But the facts are the facts, as you get older you use the healthcare system.  So the theory is you should be buying into it the whole time...  Even this concierge service sees that.  That's why you are paying a monthly fee to the doctors to keep them on "retainer"...

 

Or... You could just make it a single payer/universal system like EVERY OTHER COUNTRY DOES! 

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