Guest Post

Since the passage of the Affordable Care Act, the country has made amazing progress toward reducing the number of uninsured people, aided most recently by the Inflation Reduction Act’s continuation of enhanced premium subsidies. Census data show that 9.2% of U.S. residents were uninsured in 2019, compared to 15.5% in 2010 when the ACA passed. However, 30 million people still lack coverage.

The reasons for the high number of uninsured individuals include the Medicaid Gap, the family glitch and other barriers that prevent eligible individuals from signing up for coverage.Yet policy debates often exclude a population that is systematically and often statutorily excluded from coverage: immigrants.

Note: This is a guest post by Miranda Wilgus, Executive Director and Co-Founder of ACA Consumer Advocacy (disclosure: I'm on the ACACA board of directors).

In the middle of June 2020, with over three months of an international pandemic behind us, over 100,000 Americans and more around the world dead from Covid19 and its complications, what are we waiting for? We know that our administration has done everything possible to impede the facilitation of needs and resources to our country. Special interests are running rampant, price gouging is the norm, government agencies have been scooping up supplies from states that are desperately needed, and the GOP controlled Senate is more focused on packing courts with unqualified idealogues than with passing bills to assist Americans financially affected by the pandemic.

Arthur Childs, DO, FACOI is an internist specializing in critical care medicine in Cape May Court House*, New Jersey. About a year ago, as part of a project for the Jefferson School of Population Health, he put together his own Strategic Roadmap for Healthcare Delivery in the United States as a potential alternative to the various universal coverage proposals being tossed around on the left side of the aisle these days. He asked me to read it over and wanted my feedback.

I've done so, and while I'm still a strong proponent of going the Medicare for America route, he makes a lot of useful points and provides much food for thought. It's also very well-researched and cited, and I felt it deserved a wider audience. And so, with the permission of both him and the Jefferson School of Population Health, I'm presenting his full paper with a few of my own thoughts interspersed.

*(yes, that's the actual name of the municipality)

Note: I tend to focus almost exclusively on the wonky "bean counter" side of the ACA at the expense of the human side. In addition, I haven't done a Guest Post in quote awhile, so this . one is ideal. Maurice Harris wanted to tell his story, a case study of how the ACA has helped him and his wife. You can find Maurice's other musings at his own blog, The Accidental Rabbi --Charles

Thank you Pres Obama and all in Congress who made Obamacare happen.

I’m sharing a screenshot of the adjusted insurance premium we will be paying even though it’s the kind of info I’d usually treat as very private. But because there are powerful political forces determined to get rid of the ACA should they ever get the chance, I feel it’s important to share our family’s concrete example.