Mr. Picou’s assertion that businesses are dropping family coverage is a half-truth. A few employers are dropping coverage payment for working spouses of employees that are eligible for group coverage from their own employers. These employers reason that they should not pay for spouse coverage when those spouses have access to employer subsidized group coverage through their jobs. This sounds very reasonable to me.
Mr. Picou’s reference to OECD countries spending compared to America prior to the start of the AHA has absolutely nothing to do with the Act. Spending in all single payer plans has been less than our disorganized employer based plans. This difference in cost is why we spend about 50 percent more than any other industrial nation for healthcare. If Mr. Picou wishes for us to have comparable spending for healthcare, we need to go to a single payer plan similar to Medicare.
Mr. Picou’s statement that I complained that navigators be trained and licensed by Texas to assist residents understand the new law, is a complete misstatement of what I actually wrote. These federal trained navigators do not require any state training and licensing. No more than FBI, secret service, immigration or a dozen of other federal employees need be trained and licensed by Texas. Considering Texas’s horrendous record of healthcare management, I cannot believe anyone wants the state involved in the new law.
Mr. Picou’s statement that 25 million to 30 million Americans will still be uninsured after the implementation of AHA is true. But of course he doesn’t touch on why these people will be uninsured. The largest reason is the failure of states, like Texas, to expand Medicaid to cover citizens who do not make enough to qualify for the lowest cost insurance. In Texas alone we have about 2 million citizens who will be denied Medicaid coverage, even though federal dollars would pay more than 90 percent of the costs. This financially insane and immoral act will cost Texas about $80 billion to $90 billion dollars over the next 10 years.