In the last few chapters of the book, Brashfield start off
discussing the increasing rate of nursing homes and health care for the
elderly. The costs of living in nursing homes are extremely high, quite frankly
it is more cost efficient to have at home care. This is having an impact on the
economy. Currently the way it works is whenever you do run out of money; the
government (Medicaid) will pay for it. Also so it is stated how private long
term care insurance only covers %10 of long-term services. To me this is
completely in justice to only cover 10% of cost because overalls leaves the
entire 90% to that person to have to pay. In the chapters it is also discussed
about high-risk pools. This was
interesting to read up on, about how insurance companies would refuse to insure
or charge high premiums for individual policies. Different states responded by
creating special high-risk pools.
Brasfield discusses how there were key issues with the ACA:
cost, the public option, and abortion restrictions. When going over the cost,
the house and senate had different approaches in regards to the bill. They were
similar in some ways such as, including subsidies for people in insurance
exchange. What distinguished the two who purchased policies was the cost. The
House bill subsidies were higher, which gave protection to those who received
them and the house version cost more. The Senate version was focused on revenue
and savings. The finale version the bill
was more closely similar to the Senate.
This book has taught me that there is so much more that
going into the health care system on a more political level and government
approval level. I myself an not too involved in politics, so reading the book
help me see that it is important to understand out political leaders, because
we are the people they are suppose to work and fight for. The health care
system is a very political matter, especialy in the sense of money.
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