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Reply to "ObamaCare ruined primary care medicine "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Blame the insurance industry that REPUBLICANS won't regulate. Obama just made sure more Americans had ANY coverage. He did not dictate how much private companies reimburse. Health care should NOT be a for-profit industry. It is capitalism at work OP, not socialism.[/quote] Obama just regulated a whole bunch of insurance plans out of existence. Also shut down a bunch of rural hospitals.[/quote] Rural people were less likely to be insured prior to ACA. https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/the-state-of-healthcare-in-the-united-states/health-equity-challenges-in-rural-america/ [quote]Prior to passage of the Affordable Care Act (ACA), data across nearly four decades demonstrated that rural residents are more likely than urban residents to be uninsured. This has been particularly true in the southern and western United States, where as many as 25 percent of those under age 65 lacked health insurance in 2011. Even when rural residents have private health insurance, the coverage tends to be poorer and creates conditions under which rural residents are more likely to face high out-of-pocket costs for care. [/quote] People without insurance are less likely to go see a doctor. And, many of the red states refused to take the medicaid expansion. There are stories of older people going to see the doctor for the first time after ACA was implemented because now they finally had insurance. https://www.statnews.com/2018/01/08/medicaid-hospital-closures/ [quote]A new study released Monday reports a crucial consequence of that divide: Nonexpansion states have suffered a significant increase in hospital closures. States that expanded benefits, on the other hand, saw their rate of closures decline. Using nearly a decade’s worth of data, researchers found that hospitals in Medicaid expansion states were 84 percent less likely to shutter than facilities in nonexpansion states. Rural hospitals were particularly vulnerable to closure, but kept their doors open in places that extended coverage to more patients, the study found. Various forces are driving hospitals to shut down, including industry consolidation and a long-term shift toward outpatient care. But this data indicates that Medicaid coverage is a ballast against those forces for many facilities, especially those that serve high levels of uninsured patients who cannot pay their bills. “Hospitals in states that did not expand Medicaid continued roughly along a previous trend where it’s increasingly difficult to stay in business,” said the study’s lead author, Richard Lindrooth, a professor in the department of health systems management at the University of Colorado. [/quote] Also, Rs anti-abortion stance is pushing rural ob/gyns out which means pregnant women, who are few and far between in rural areas to begin with, have to drive that much further out to go see a doctor.[/quote]
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