You could argue that 4-6 aren’t real objections either because most people aren’t in those fields either.
> You could argue that 4-6 aren’t real objections either because most people aren’t in those fields either.
Way more money and influence though.
Bingo. 50 million poor people have less lobbying clout, ie dollars, than the medical or pharma industries.
It’s no coincidence that the ACA provided for money for insurance, without actually increasing the supply of actual medical care. Increasing insurance increases demand, provides a way for the existing industries to get paid, and overall raises the cost of care.
Now had they had a lick of sense and simply spent the same amount of money on setting up clinics (ie supply side), you’d see a drop in prices as existing providers would have to compete with a lower cost option.
Keep in mind that even with the Gold level plan you are still subject to network restrictions, paying copays, deductibles, and you have an OOP maximum of several thousand dollars.
Big companies can get better rates than individuals or smaller companies and businesses get to write off the expense, whereas individuals (mostly) can't. It's only the governments' fault insofar as they haven't done something about this already. The rules were written to enable corporate profits, not quality, cheap healthcare. Even as a small business owner, trying to offer healthcare was brutal just from the sheer expense of it. It's almost hard to justify unless you have kids or a chronic condition, but you never know when catastrophe will hit, so the market is fairly price-inelastic.
https://www.nj.gov/dobi/division_insurance/ihcseh/ihcrates20...
Add or subtract 10% based on your cost of living compared to NJ.
#2 isn't a serious objection, because the math is pretty clear that almost everyone winds up spending less.
#4-6 are intractable and come down to the population having the will to overcome objections from capital and doctors. I do think that doctors and nurses are gettable if we bring down the costs of malpractice insurance and education so that overall take home doesn't suffer.
In my experience trying to sell the idea, the biggest impediment to real progress is #3, though I am certain I have a local bias. That's the issue that keeps the knowledge working class separate from the labor-working class. I haven't come up with a good answer other than accommodating them by allowing first-class treatment for those with money and second-class treatment for everyone else. Not the most altruistic answer, but probably the most achievable. No one with premium healthcare now is going to risk it, and that's an important political block.