STOP BEING SICK: ObamaCare Turns Out to Be Affordable Only for the Healthy.

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via WSJ:

According to President Biden, health insurance in America is free or almost free (“as little as $10 a month or less” after subsidies) for about 80% of people who acquire it in an ObamaCare exchange. Most preventive care—the only kind of care healthy people require—is also free.

If you are sick, things are different. Consider a hypothetical middle-aged couple in Dallas earning $70,000 a year. Suppose they have two children, both of whom have serious birth defects. Although this family will pay no premium for a Blue Cross bronze plan in the ObamaCare exchange, they will face a $9,100 deductible for each child. Their total out-of-pocket exposure is $18,200 a year.

It gets worse. Patients with serious diseases often require the care of highly trained specialists who usually work at centers of excellence. But that family in Dallas will discover that their Blue Cross plan isn’t accepted at leading cancer providers nearby, including Baylor University Medical Center and the University of Texas Health Science Center, or MD Anderson Cancer Center in Houston.

The problem isn’t unique to Texas. ObamaCare plans have very skinny networks in every state. They tend to pay providers Medicaid rates or close to them. As a result, ObamaCare looks like Medicaid with a high deductible. A great many providers, including prestigious medical institutions, won’t accept Medicaid managed care—the version of Medicaid most recipients receive—or ObamaCare.

When a patient with ObamaCare coverage goes out of network, the plan usually pays nothing and the patient’s payment doesn’t apply to his deductible or out-of-pocket maximum.

High prices for restricted service… yep, that’s a government program.

Plus: “If you wonder why ObamaCare was designed this way, consider that it wasn’t designed by Mr. Obama or by Democratic lawmakers. It was designed by special interests. ObamaCare has been pouring about $60 billion a year in new money into the healthcare system. All that spending is lining the pockets of insurance companies, hospitals and some doctors—although it doesn’t appear that there has been any overall increase in the amount of healthcare being delivered.”

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by Stephen Green

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