by Peter Roff • The Hill
A debate has raged for more than 20 years now over the best way to bend the U.S. healthcare cost curve downward. So far, no one is winning – least of all patients and healthcare providers. And no one will as long as “bending the curve” (which is just a fancy way of saying we need to find ways to make the delivery of healthcare cheaper) remains the primary objective regardless of the impact on patient care.
Up to now the debate has focused largely on what government can proactively do to ease costs. This led to the passage by the narrowest of margins of the Patient Protection and Affordable Care Act – which is really nothing more than a complex series of new regulations and taxes, fines and fees that have forced insurance companies, doctors, hospitals, and patients all to make changes in the way they provide and receive care as well as coverage.
People don’t like the new system very much but they weren’t exactly fans of the old one either. And no matter what the United States Supreme Court determines in the pending King vs. Burwell suit over the questionable use of tax dollars to subsidize health insurance bought through the federal exchange by people living in states that do not have exchanges of their own, things can probably only get worse. [Read more...]