much like obama, they poorly planned the changes to healthcare. Without limits on what doctor and hospitals can bill, our healthcare system will remain fucked.
here's an example of why:
took wife to ER due to symptoms of pneumonia. Got put in room, nurse visited and stated the doctor wanted blood work and a piss test. 3 hours later, i went to ask when the tests would happen. The ER doctor who requested the items had left for the day, provided no info to any of the nursing staff and the room was showing as empty. We finally got 2 pills from another nurse and were discharged.
2 weeks later, this doctor bills our insurance for 1173$. the doctor never saw us, forgot we were there and horribly failed at her job. My insurance offered to pay 50$ for the service. Doctor took the 50 and billed us the remaining 1123. We called our insurance, and luckily, they paid the balance. The fact remains that as long as a doctor can choose to bill whatever they want (hospitals in general do this in the US, they bill a completely different amount based on what insurance you have, in fact, prior to ACA, i would just claim i didn't have dental insurance because the no-insurance bill rate was less than my copay) will present an issue regardless of what healthplan is forced upon us.
My thoughts: setup guidelines for hospital/doctor billing practices FIRST, then figure out how to make healthy 18-25year olds pay for the medical expenses of 90 year olds.