The single largest tax expenditure in the United States is for employer-based health insurance. It’s even more than the mortgage interest deduction. In 2017, this exclusion cost the federal government about $260 billion in lost income and payroll taxes. This is significantly more than the cost of the Affordable Care Act each year.
Medicaid pays for most of the 1.4 million people in nursing homes... It covers 20 percent of all Americans and 40 percent of poor adults ... A combination of longer life spans and spiraling health care costs has left an estimated 64 percent of the Americans in nursing homes dependent on Medicaid. In Alaska, Mississippi and West Virginia, Medicaid was the primary payer for three-quarters or more of nursing home residents in 2015, according to the Kaiser Family Foundation.
Treating addiction is a growing business, but a lot of the treatment that's available is expensive and patients often relapse. Fortunately, there is a way to help some people pay less for better results ... For a year of treatment, Anthem says it's paying Aware about the same as the cost of a month or two of inpatient treatment. Anthem also says 72 percent of Aware clients are either sober at the end of one year or still in active treatment.
The Affordable Care Act of course affected premiums and insurance purchasing. It guaranteed people with pre-existing conditions could buy health coverage and allowed children to stay on parents’ plans until age 26. But the roughly 2,000-page bill also included a host of other provisions that affect the health-related choices of nearly every American.
And one of the remarkable things about this study is that it shows very, very little change in public opinion on Obamacare. Democrats had a theory, back when they passed the law in 2010, that health reform would get more popular as the benefits rolled out and more people got coverage ... But that change never happened — and the country remains just as divided on the health care law as it was on the day Obamacare passed.
Within a decade, close to a fifth of the American economy will consist of health care ... Chronic -- and often preventable -- diseases are a huge driver of personal health spending. The three most expensive diseases in 2013: diabetes ($101 billion), the most common form of heart disease ($88 billion) and back and neck pain ($88 billion) ... more than half of diabetes care is spending on drugs, while only about 4 percent of spending on low back and neck pain was on pharmaceuticals.
52 million non-elderly Americans could be ineligible for insurance under the old rules. The analysis can't distinguish what type of insurance those people have now; many are likely covered by an employer-based plan. But if those people were to lose their jobs or have a gap in coverage and found themselves purchasing a health plan on their own, they could run into restrictions, higher premiums or even denials if the pre-Obamacare rules were back in place.
Most of the state prison systems in the 31 states that expanded Medicaid have either not created large-scale enrollment programs or operate spotty programs that leave large numbers of exiting inmates — many of whom are chronically ill — without insurance ... Nationwide, 16 state prison systems have no formal procedure to enroll prisoners in Medicaid as they reenter the community ... Nine states have only small programs... These 25 states collectively release some 375,000 inmates each year.
Transgender identity has changed in the D.S.M. too, classified under “sexual deviations” in 1968, “psychosexual disorders” in 1980 and “sexual and gender identity disorders” in 1994. In the fifth and most recent edition, D.S.M.-5 in 2013, the designation was changed to “gender dysphoria,” and was defined to apply to only those transgender people who are experiencing distress or dysfunction
more than 3 million people in the state remain uninsured, and policymakers are searching for ways to reach them. Experts say knowing where the uninsured live and work in California is key to reducing their numbers. City and county outreach efforts can be critical to raising awareness among those who are eligible for federal health insurance programs but not enrolled.