The Carelessness of Affordable Care

The Affordable Care Act has been touted as a long‐overdue remedy for what is perceived to be the chronic problem of large numbers of Americans living without adequate health insurance. While much of the discussion of the ACA has focused on its legality, it should also be assessed on the basis of its economic implications and its moral acceptability. On its face, the ACA appears to do well on both counts. Given that the uninsured often secure their health care from expensive emergency room treatment (from which they cannot be excluded and whose cost is often borne by third parties), expanding insurance to cover them (and hence to give them access to less expensive treatments) appears to make economic sense. Similarly, it might appear that providing access to insurance for people who otherwise could not afford it, or who would be denied it as a result of having medical conditions that they are not responsible for, would be morally laudable. But these appearances deceive: The ACA is neither economically sound nor morally acceptable. To paraphrase Oscar Wilde, to fail on one of these criteria may be misfortune; to fail on both looks like carelessness

Actuarial science · Business · Carelessness · Face (sociological concept) · Health care · Health insurance · Law and economics · Misfortune · Political science · Principle of legality · Sociology · Healthcare Policy and Management · Law · Medicine

• How Many Justices Does It Take to Change the U.S. Health System

  Open Access•William M Sage•The Hastings Center Report•2012

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