The agency estimated this reduction in hours worked as the “full-time-equivalent workers of about 2 million in 2017, rising to about 2.5 million in 2024.” The agency hastens to point out that this Will face and the financial benefits some will receive.” Worked, on net, by about 1.5 percent to 2.0 percent during the period from 2017 to 2024, almost entirely because workers will choose to supply less labor – given the new taxes and other incentives they Perspectives from expert contributors.In that appendix, “Labor Market Effects of the Affordable Care Act: Updated Estimates,” the agency reported its estimate that the Affordable Care Act “will reduce the total number of hours Finally, the deal called for a completely one-sided payment
Medicare was not to interfere in any way in the physicians’ treatment of Medicare patients – through what we now know in private health insurance as “ managed care.” Nor was Medicare allowed to influence the way hospitals were constructed and operated. Of the House Ways and Means Committee that the federal agency would exercise no control. I was required to promise before the final vote in the executive session The sponsors of Medicare, myself included, had to concede in 1965 that there would be no real controls over hospitals and physicians. Social Security Act, described as “an act to provide a hospital insurance program for the aged under the Social Security Act with a supplementary health benefits program and an expanded program of medicalĪssistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public assistance programs, and for other purposes.” We have come to know itĪs Wilbur Cohen, a chief architect of the law and subsequently secretary of health, education and welfare, Perspectives from expert contributors.In return, the industries would allow Congress to pass a 1965 amendment to the Have to ask themselves at what price they can afford to buy additional life years for people insured with those collectively financed funds, which are, after all, finite. I responded that the issue is not the monetary value we put on our own lives with our own money, but rather that those who preside over private and public health insurance funds, Congress included, at some point You get to be 90 years old and you need a hip replacement, do you just let them fall and break the hip and die of pneumonia? Or do they get the opportunity, if they value that, to get that hip replaced? Reinhardt, do you believe that we, as individuals, in America should have the ability to value our own lives, or is this something we should ask the government to do for us, i.e., ration that care when
I had called the idea that human life is priceless both romantic and silly.ĭr. and Republican of Georgia, took me behind the woodshed over a remark I had made in a post on this blog. Perspectives from expert contributors.At that hearing, Representative Phil Gingrey, M.D.
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