MuseZack, on Mar 26 2010, 10:41 PM, said:
The British NHS has always been underfunded relative to the healthcare systems of other western democracies.
The U.K. is reaching the end of its fiscal rope. This isn't business as usual underfunding; the U.K. government fears for its solvency.
Obamacare, which is a combination of increased subsidies for people to get private insurance (socialism!) along with medicare expansion and more regulations on private insurers.
I think you meant Medicaid. That's the program for the poor.
ObamaCare expands the Medicare prescription drug benefit, but according to the CBO report
the overall effect of the legislation would be to put Medicare on a serious diet:
The reconciliation proposal and H.R. 3590 would maintain and put into
effect a number of policies that might be difficult to sustain over a long
period of time. Under current law, payment rates for physicians’ services in
Medicare would be reduced by about 21 percent in 2010 and then decline
further in subsequent years; the proposal makes no changes to those
provisions. At the same time, the legislation includes a number of
provisions that would constrain payment rates for other providers of
Medicare services. In particular, increases in payment rates for many
providers would be held below the rate of inflation (in expectation of
ongoing productivity improvements in the delivery of health care). The
projected longer-term savings for the legislation also reflect an assumption
that the Independent Payment Advisory Board established by H.R. 3590
would be fairly effective in reducing costs beyond the reductions that
would be achieved by other aspects of the legislation.8
Under the legislation, CBO expects that Medicare spending would increase
significantly more slowly during the next two decades than it has increased
during the past two decades (per beneficiary, after adjusting for inflation). It
is unclear whether such a reduction in the growth rate of spending could be
achieved, and if so, whether it would be accomplished through greater
efficiencies in the delivery of health care or through reductions in access to
care or the quality of care.
8 The Independent Payment Advisory Board would be required, under certain circumstances, to
recommend changes to the Medicare program to limit the rate of growth in that program’s
spending. The Board’s recommendations would go into effect automatically unless blocked by
subsequent legislative action.
Of course, a lot of the nonsense Obamacare provisions in the first two paragraphs will be rescinded since their only purpose was to make the legislation's budget effect look good on paper.