Some portion of that money goes to subsidize teh insurance premiums of low income people. Not all low income people stay that way. the number flucuates. For example, my grad student daughter who worked last year but is scarbbling to find part time jobs this year will qualify for teh premium subsidy. Eventually she will make enough money not to be a drain but to pay back into teh sytem. This will also hold true of her friends who are young, healthy and at the beginning of there wage arning careers.<quoted text>
Obamacare drastically increase the total amount spent. The CBO estimates it will cost the federal government will pay out 1.7 Trillion from 2014-2023, to cover 27 million people. That works out to a cost of $6,300 for each of those 27 million people, per year!!!
Instead of lowering cost and improving care, they made cost go through the roof to improve care, and guess who gets stuck paying that $6,300 our children and grandchildren (in the form of debt we will take on) and those of us who are already insured and who pay taxes. Not only did taxes go up for us, but our medical care is going up, just so 27 million bottom feeders can get more free shyte that they don't pay for and couldn't care less how it affects others to provide them. They want healthcare and they want others to pay for it. They can go f' off.
The bottom feeders consume health care. In my experience the lowest paid people consume the most health care. If they are uninsured the health sytem renders teh care as a charity expense for which they must raise charges for teh rest of us. Do you want to go into a hospital which has the insured wing and the paupers ward? Didn't think so. The cost has to be capitalized. If there is someone to pay, teh care can be controlled and spread more equitably so teh government pays less overall.. Think of it as water seeking its own level.
The concept of insurance in the abstract requires collecting premiums from people who don't make claims which will balance the payouts for people with high costs whose premiums paid were less than the cost of their care.(Insurance companies are very highly regulated. Their loss ratios are published quarterly and the premiums they can charge are adjusted up or down. Insurance companies are the one industry that weathered the 2008 crash well. The part of AIG which had the problems was not its insurance companies) Premiums for people with good histories are less but are still present. If you compel people with a low loss experience into the pool, they will pay lower premiums from a larger number of people which will allow the carriers to fund care across the board. No too many people are still griping about mandatory auto insurance any more although they howled when the requirement was first being passed.
There is also the social concept that the less fortunate should be cared for by those with more. Will there be abuses, bottom dwellers, frauds? Of course. I am galled by that and I actively work against such people. But , and it is a big but, I am willing to tolerate that gall for the sake of the benefit that more people have access to reasonable health care because I see that as something basic and humane. Therefore the cost you cite is fluid, may go up or down but is one I am willing to stomach.
The health care available to the ACA people in the lower tiers of the policies will not be the same as you get. There will be many more paraprofessionals, more clinics rather than one on one docs. That will weed out the Gomers and identify those who need care.