Flawed Analysis

Jul 18, 2018

To the Editor:

J. Lindsey Fuller’s comments on the Affordable Care Act and New Jersey laws were enlightening (“ACA Has Caused More Pain in NJ,” 7/11).

The New Jersey Legislature did half the job by requiring health insurance companies to cover all pre-existing conditions. But failing to require full participation encouraged an inevitable hop-on, hop-off insurance system.

Designers of the ACA understood the need for full participation. So did the Republican Party, which worked very hard to disable this and crash the entire program. Remarkably, most people enrolled under the ACA have kept their insurance anyway and the program limps along.

Fuller doesn’t understand that, at least in Pennsylvania prior to the ACA, if you wanted to change from a group employer plan to an individual plan, your options were often either one or none if you had any health issues at all.

What really saddens us is Fuller’s statement “If coverage is unavailable due to a person’s poor judgment and bad decisions, then the rest of society should not be expected to chip in.” This shameful attitude seems to be unique to the U.S.  

This also ignores the reality that uninsured people get care eventually at everyone else’s expense, so we’re going to pay, one way or the other, often at higher cost with poorer results.

The cost of health care in the U.S. is skyrocketing and will continue to do so as long as it’s an inefficient, profit-seeking system beholden to pencil-pushers, layers of administrators, salesmen, ambulance-chasers, shareholders and political contributors. Better systems exist, but we refuse to learn.

Mark B. Vizer, MD

Sue Vizer, RN

Lansdale, Pa., and Ship Bottom




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