In the last 5 years I've seen the "uninsured" figure ranging from 35 to 45 million. First, for my foreign FaceBook and blogger friends (and my Democrat trolls), all Americans have access to health care, and a small percentage to not have insurance or private funds to pay for that care. Second, the high figure of uninsured is based on our U.S. Census, which counts people, not citizens, so about 10 million of whatever figure you chose, are not Americans. Third, that figure is a snapshot of a point in time and includes people between jobs, students leaving college coverage, or workers moving into their own business who haven't yet purchased what is appropriate for their needs. Fourth, it includes people (about 14 million) who are eligible for one of our many government plans for special groups, but they just haven't signed on. They find it easier to just go to the ER or a free clinic. And then there are those with higher incomes who pay out of pocket, and like it that way (about 17 million). Fifth, about 18 million are under 34, the healthiest age group who are willing to gamble (because that's how youth are) nothing can happen to them and they'd rather spend the money at the mall or the bar. Some of these groups overlap and are counted twice--young, leaving college, changing jobs, and/or well off due to family circumstances.
The two worst features of our BO (before Obamacare) health insurance system (not health care, which is very good) is that it is tied to employment (big tax breaks for employers and workers—which our current administration sees as a loop hole) and not portable, and that it is so highly regulated by state governments that only the really big players have a say in it. For instance, the problem of not being able to sell across state lines so the citizen can freely select the best policy.
It shouldn't have been difficult to correct those faults and insure the people who were showing up at the ER, skipping vaccinations, and too ill or deranged to work, but that would not have given the federal government any additional power, nor have satisfied the desire of many Americans to be relieved of all guilt and demand to look out for the little guy by letting the government do it all.
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