March 27, 2012 the washingtonpost published an article Supreme Court expresses doubts on key constitutional issue in health-care law
The conservatives on the Supreme Court want the country to prove that universal and affordable coverage are crucial to the survival of the republic. To do so there will have to be a big crisis of illnesses and costs of health care forcing society to start denying health care because it cannot afford it to provide it.
Really, it appears that the conservative justices are going to invalid the mandate. That will assure that within a decade the U.S. will have two kinds of patient those who can afford to pay for all basic care out of pocket and who can also afford huge premiums for catastrophic care. This will begin to happen at the point where employers stop offering health care as a benefit will come when the costs have just made it impossible for them to continue offering it and remain competitive in the global economy. When that happens, the current private insurers will find their healthy enrollees opting out as costs and premiums and deductibles begin to rise, and it will not be long before health care insurance for regular care will become a loser for the insurers and they will pull out.
The very rich will pay for health care out of pocket except for catastrophic care for which they will buy insurance policies at very high premiums. Everyone else will be what is currently called indigent, meaning they really cannot afford health care and are not covered under any insurance plans because they cannot afford them. Most private hospitals and private care practices will have to shrink to just those who can afford to pay for themselves, and increasingly medical care will be offered as a public charity to virtually all people, and it will be paid out of the general tax funds. Most care will be for urgent medical conditions because there just will not be enough money to address preventative care and chronic illnesses that are not yet producing urgent care maladies.
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