W.TN.Orange Blood
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That wouldn't be easy to monitor. Should we assume this group would be much different that the diabetic population at large?
My working hypothesis would be yes they are different. For any number of reasons they are at the bottom of the socio-economic spectrum. In general, this group demonstrates lower levels of self sufficiency.
Research has found a negative relationship between patient socioeconomic status and adherence.
Diabetes prevention and maintenance is heavily diet and exercise related. Adherence is critical for a chronic disease such as this.
I just think the ACA was a horrible way of achieving it and the notion that it will lower costs due to emphasis on prevention rather than treatment is a pipe dream.
SEAN PARNELL: Obamacare flying machine begins a death spiral - Washington Times
According to the Manhattan Institute, premiums climbed by 41 percent on average from 2013 to 2014, and premiums are likely to rise sharply again after two insurance company bailout programs included in Obamacare expire in 2017.
The other sign health insurance markets are in the early stages of a death spiral is the age mix of those buying policies through Obamacare. Originally it was estimated that around 40 percent of enrollees had to be in the relatively healthy 18 to 34-year-old age segment, so their premiums could be used to pay for the health expenses of older, less-healthy enrollees. So far it appears only some 28 percent of enrollees are in that coveted age group, which also comprises around half of the uninsured.
All of this means insurers are getting a risk pool that is less healthy than expected, and more premium hikes are around the corner. While subsidies hide some from the full impact, others in the middle class will not be shielded.
Well NO SH/T!!!
Even if the cost-saving case for preventative medicine is overstated, even if early detection may not save money at all, it's still a laudable objective.
Even if the cost-saving case for preventative medicine is overstated, even if early detection may not save money at all, it's still a laudable objective.
Name one progressive program that doesn't have a laudable objective. The problem with government programs isn't the intent, it's the execution. They either become bloated, corrupted, or inept.
Within the political parameters of the health care system ($$ special interests), how else do you provide preventative care to the under-insured?
It seems to me the wisest place to start would be with the Medicare and Medicaid programs.
Not a whimsical restructuring of the entire country's healthcare system.