My opinion on the whole medical system is that SOMETHING needs to be done, as it is unsustainable the way it currently stands.
What the something is, though, I'm not sure, besides the nagging feeling that this ain't it. I asked a Union rep well before the case was decided what this does to certain sections of our contract, as the contract defies part of the law. The response was "Oh, we didn't think about that". The law as it stands basically trashes one section of our CBA.
There are a myriad of issues with the current system, like treating emergency rooms as primary care offices, the billling and claims systems are a damned farce, the shell games in relation to contracting (doc A works out of hosp A, but isn't working for them, but a contract company, therefore all docs under the YZ name are PPOs for ABC ins. Co. is an expensive lie.....), and treating hospitals as nonprofits when they are very, very much for profit entities, regardless of the official status of the organization.
The biggest problem with the affordable health care act? Ask 3 different experts on the impact of the law, and get 3 different answers. To me that spells trouble, as it means no one knows what the real impact is going to be. That they passed such a broad piece of legislation without being able to quantify the effects is disturbing.
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