Looking North: Can A Single-Payer Health System Work In The U.S.?
American single-payer advocates want to emulate Canada鈥檚 system. But many Canadian experts say the U.S. first needs to address some basic questions.
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American single-payer advocates want to emulate Canada鈥檚 system. But many Canadian experts say the U.S. first needs to address some basic questions.
In this episode of 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Alice Ollstein of Talking Points Memo and Margot Sanger-Katz of The New York Times discuss health issues in the emerging tax bill, including the likely repeal of fines for those who fail to obtain health insurance. They also talk about the end of 鈥渙pen enrollment鈥 for 2018 individual health insurance coverage.
In Tennessee, an Obamacare consumer saw her rate go from $750 to just $5 a month. But a man in Maryland had to buy a less comprehensive plan to keep his costs under $1,000 a month. Income and geography determine prices for health insurance in the fifth year of Affordable Care Act coverage.
The federal marketplace generally uses credit reports to help verify identities, but that doesn鈥檛 work if consumers have put a security freeze on them 鈥 as some did after the Equifax breach this year. Workarounds for this issue exist, but they make the process more time-consuming.
It鈥檚 not just ideology; a lot of people don鈥檛 understand what the law does or how it works.
Although in most states the insurance marketplace deadline is Friday, some consumers might be entitled to a special enrollment period if their 2017 plan is being discontinued or they are from states designated by the federal government as hurricane disaster areas.
Even if the Republican from Maine can get her party to go along, her suggestions to bolster the individual insurance market may be too little, too late.
In this episode of 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Stephanie Armour of the Wall Street Journal, Alice Ollstein of Talking Points Memo and Margot Sanger Katz of The New York Times discuss new health spending numbers from the federal government, as well as how the year-end legislating in Congress is being complicated by health issues.
People who have a plan from the health law鈥檚 marketplace and who don鈥檛 actively shop for a new one will be auto-enrolled on Dec. 16. But unlike past years, most people won鈥檛 be able to change those plans if they don鈥檛 like them.
Insurance has often been a tough-sell among these young people because they are often healthy and choosing a plan is complicated. A shorter enrollment and less outreach could dampen enthusiasm.
But buyer, beware. Cobbling together 鈥減ackages鈥 designed to cover gaps in high-deductible health plans could shortchange consumers, warn advocates.
Harvesting U.S. crops has been left to an aging population of farmworkers whose health has suffered from decades of hard labor. Older workers have a greater chance of getting injured and of developing chronic illnesses.
The Affordable Care Act has increased the number of people with insurance, but shopping around for plans puts a burden on patients, especially this year.
In this chat, KHN鈥檚 Julie Appleby offers a progress report on the 2018 sign up season.
With less federal funding and marketing, local groups are feeling the pressure to keep up enrollment in the plans offered through the federal health law鈥檚 marketplace.
In Texas, the uninsured rate among Vietnamese immigrants is nearly double the national rate. Navigators there are working to reverse that.
Ineligible for subsidies, a Tennessee woman quit her job to get an affordable health care premium. Conventional steps 鈥 such as maxing out your 401(k) contribution each year 鈥 may also do the job, financial planners say.
Congress let funding for the Children's Health Insurance Program expire in September, and despite bipartisan support for the program, states are facing the specter of having to prepare to wind down their programs.
State leaders vow to protect consumers from a presidential order to resurrect a health plan model that they say could destabilize the insurance market.
The sticking point is not whether to keep the popular Children鈥檚 Health Insurance Program running but how best to raise the cash.
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