An individual's lack of health insurance affects everyone in the country economically, so requiring it is constitutional.When the uninsured person goes to the ER, the hospital bill is passed on to everyone (possibly including people from other states) through higher costs.If she becomes disabled because of lack of preventive care, her Medicaid or SSI are paid for by everyone else's taxes and contributions (and we lose her contribution to taxes if she could work).
If our insured's eventual disability&poverty allow her to get Medicaid - & she has a long, lingering dying process in an ICU & then a vent-capable nursing facility - this could contribute $100K-$1M to everyone's bills (across state lines, since Medicaid is supported by both state & federal revenues). An ounce of insured prevention is worth many pounds of high-tech remittive or end-of-life care.Just one reason why 'Obamacare' saves billions over the long haul.(fs- MD,FACP- int’l,geri& palliative med; bioethics)
ECONOMICS & UNINSURED
An individual's lack of health insurance affects everyone in the country economically, so requiring it is constitutional. When the uninsured person goes to the ER, the hospital bill is passed on to everyone (possibly including people from other states) through higher costs. If she becomes disabled because of lack of preventive care, her Medicaid or SSI are paid for by everyone else's taxes and contributions (and we lose her contribution to taxes if she could work).
If our insured's eventual disability&poverty allow her to get Medicaid - & she has a long, lingering dying process in an ICU & then a vent-capable nursing facility - this could contribute $100K-$1M to everyone's bills (across state lines, since Medicaid is supported by both state & federal revenues). An ounce of insured prevention is worth many pounds of high-tech remittive or end-of-life care. Just one reason why 'Obamacare' saves billions over the long haul. (fs- MD,FACP- int’l,geri& palliative med; bioethics)