OK. I will bite. You are completely off base here.
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prevention, that's accomplished through education, not forcing people to buy something- NO. Prevention is testing to see if a disease state has started.
-if the disease state is present then you initiate treatment at the earliest possible moment. For multiple diseases this can PREVENT serious sequelae from happening. Example- Type II Diabetes- if left untreated risk for cardiac event, stroke, etc increases 4 fold. If treated morbidity is sig decreased. Screening can identify if people are borderline diabetic and teatment can be instituted
- if the test is negative then you would continue to screen at prescribed intervals to make sure the person is disease free
Education is a piece of prevention. It does not take the place of prevention.
-Even if
people do not take preventive steps they are covered in some way should an event happen. If you have an MI then 7K is pittance. You are talking >10K just to get out the door for a mild one. Serious can be >100K.
-Statistics show that people utilize the screening
http://onlinelibrary.wiley.com/doi/10.1002/cncr.30476/full This was reported on CNN but here is the link to the actual article in the Journal, Cancer, because I am sure you would be scared to be exposed to CNN lest it corrupt you. Here is another one from Reuters
https://www.reuters.com/article/us-...helping-find-early-stage-cancer-idUSKBN157292
- I can say anecdotally when I was working the number of people we were able to see for physicals and who could get screening tests was increased exponentially. THe system did struggle to keep up but was righting itself until recently.
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And even if they do, the wait times end up being so high to even be seen, especially in urban areas, so they end up just compounding the original problem.
As there are a finite number of people with disease it does not compound the original problem if you identify them. All it does is label the problem that previously was not defined well. People who had diabetes before and were undiagnosed were much more likely to show up in an ER with something bad than when they were insured, no matter how awful the insurance. Even if they showed up in extremis they could get some sort of care that would have some sort of coverage. The money is owed regardless of the 7K deductible if the patient is in the Unit with an MI.
The old system was past breaking because there were so many people showing up in ERs for care that should have occured in an office. ERs by default must order more tests, and do them in a place that costs more. Unisured people were showing up and clogging the system for things that should have been either prevented or handled in the office and ere unable to pay. After the advent of insurance at least some of this was paid for and didn't leave hospitals with the negative cash flow that comes with seeing patients and not getting paid.
The way the ACA system was set up everyone pays in- regardless of your health status. We are all working on dying from the minute we are born. Unless you have the grace to die outright you will be utilizing the healthcare system at some point. If you haven't paid in when you are healthy there is no way your premiums are going to cover what you will cost the system when you finally join it.
The load on ERs and Urgent Care Centers decreased for some measures- New England Journal of Medicine article-
https://catalyst.nejm.org/health-insurance-ed-use/
I have said this numerous times before and I will say it again. All those 'healthy people' who don't want to waste their money on insurance they don't need are parasites on the system. If they get hurt they can sail into the ER, get their traumatic injury, MI, CVA, etc taken care of, languish in the hospital, rack up huge bills that bankrupt them, put their families at financial disadvantage and screw us all. When the hospital doesn't get paid we all see an increase in our bills to cover it. When the person is disabled and collect SSI The taxpayers pay. When the family needs to access all the social net- State health insurance, food stamps the taxpayers pay. When the family cannot keep their job and care for the person we all pay.
If you were willing to allow people to wear something that would exclude them from the system they refused to pay into then OK. But this isn't going to happen. Morally and ethically we are required to provide care to those who are willing to take the care without investing in it themselves. The BS about having rights is just that. You can only have rights if they don't infringe on other peoples and this infringes on everyone. //end rant.