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0 pointssroussey1y ago0 comments

The ACA was a huge change. People generally know about the parts about mandates et al.

The provisions for moving beyond paper was one of the biggest, and most relevant to people here. Examples are the use of electronic records, the incentives to actually use them (both for patents and for metrics), etc.

Due to the market power of Medicare, it also changed payments from per procedure to per outcome.

Many of these changes were quite deep. I would not use trivial to describe it.

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jfengel1y ago

I say "trivial" in that it did not actually change the core elements of private insurance and employer sponsorship. It's a slightly improved version of the old system -- one which recently provoked literal blood lust from both sides of the aisle.

Within that framework the changes can be seen as significant. But that framework is widely despised in the US and considered insane everywhere else.

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jfengel1y ago

Within that framework the changes can be seen as significant. But that framework is widely despised in the US and considered insane everywhere else.

j / k navigate · click thread line to collapse