Sunday, March 25, 2012

If I Were A Supreme Court Justice

Obviously I am not a Supreme Court justice. I am not a lawyer nor an expert on the law, but if it were my decision I would support the Affordable Care Act that was approved by congress and signed into law two years ago. Everything I read about this law seems like a good idea to me.

Medical care is too expensive. We spend far too much individually and as a nation for health care. In 2009 the nation spent $2.6 trillion on health care, that is 17.9% of the U.S. Economy. Something needs to be done about this problem soon. The Affordable Care Act is a step in that direction. Decreasing the cost of health care will be a complicated process, but steps in that direction have begun with this law, and that is good.

The big question before the court is the issue of forcing everyone to buy health insurance, the individual mandate. The vast majority of people already have health insurance. Those people without health insurance receive little if any routine, preventative care. They still receive health care, but it is usually administered in emergency rooms and paid for by higher premiums on those with insurance and by taxpayer dollars. People without health insurance make health care more expensive for the rest of us. Mitt Romney editorialized in 2009 that imposing a tax penalty on those who choose to remain uninsured encourages health care free-riders to take responsibility on themselves instead of passing the costs of their health care on to others.

The way I understand the law, those who choose not to buy health insurance will be required to pay a modest fine that could never exceed 2% of their annual income. This would be a “shared responsibility” payment. The fine is meant to be a financial incentive to find health insurance that would be more affordable. No one would become a law-breaker by refusing to buy health insurance.

If we are supposed to call social welfare programs after the president that signed them into law, then I support Roosevelt Security, Johnsoncare, and Obamacare. None of these programs are the perfect answer to the problems they address. They all could use a bit of tweaking to make them better. They are all good programs.

All of these are laws in our country. I believe all of them should be upheld by our justice system.

1 comment:

Middle Child said...

Our system in Australia is far from okay but everyone in Australia paying taxes pays a medicare Levy. Some choose private insurance but this does not mean that they can jump queues in public hospitals (although they do) Most privately insured go to private hospitals some good some terrible. Most hospitals public and private have MRSA and are not clean by my standards - (worked in a Catholic hospital in the 70's and they were clean!) -0 Thise on pensions can pay health insurance if they choose or can afford it but most don't - used to be they got in pretty quickly and were well treated, but since the 90's the system has become top heavy with admin and research and food is deplorable - most patients in public hospitals 9the only ones who deal with emergency - have malnutrituion because of the frozen shit food...used to be freshly cooked and wonderful. Everybody in Australia unless illegal can get into hospitals for no cost but the care they get can be either excellent (if lucky) or dreadful as with Don's. It used to work happily in the 70-90's. Its pretty well stuffed now and nobody seems responsible. I advise anyone going to hospital to have a friend or relative nearby and if disabled as Don to have one 100% of the time - Accidents are becoming more common and again no one is ever responsible...this is how it seems to me