We’ve already seen ACA go sideways.
Real life... 20 something year old non compliant pt is brain dead on a ventilator. Her brain stems is allowing her to breathe on her own 6 times a minute. Not enough to sustain life but enough to not declare her brain dead. Her mother is mad at the world and decides to keep her support going even though her eeg shows no functioning waves.
Ethics committee gets involved. Here we go... 4 weeks later no decision yet then she codes 8 times. We coded her until we couldn’t get her back.
I tell you this because everyone should know, we the tax payers just paid her 1m plus bill for a pt who was non compliant her entire life. Minus what Medicare decides is payable her mother will get grant money for charity to cover the rest or the hospital will write it off.
We already shoulder the motherload of ridiculous debt under Medicaid, putting in uhc will not solve this problem. Look at every program the gov runs....fraught with waste.
The other conundrum is what do we do with the untold millions of pts who end up in the hospital for damaging themselves? It is an
Ethical dilemma that uhc won’t fix. We will be forced to treat heroine od #5 for pt x under uhc continually. I see this everyday I go to work in a major metropolitan hospital.