The uncompensated care system just drives up health care costs. Others have pointed out that because they have no insurance, they just do without. Of course, when things are life-threatening, that’s when they will go. Take the example someone mentioned above: of someone with cancer. Since they don’t get annual screenings, they won’t go for care until the symptoms are really bad. By that time, the cancer may well have metastasized. They might get all kinds of very expensive care, but for nought. So many other conditions can be so much more expensive to care for because the patient gets care much later in the life cycle of the condition.
A couple of things happen as a result of delaying care. The patients are much sicker, and the cost of care is much higher. The hospital will bill the patient, but the patient won’t be able to pay. Instead, they’ll go bankrupt, leaving the hospital unpaid. Sort of. Actually, because they expect a certain level of uncompensated care, they shift those costs over to Medicaid, Medicare and Privately insured patients as best they can. These are ongoing negotiations over prices, with all kinds of games going on that hurt patients just so hospital profits can be maximized.
When I was doing health policy work, I think that the amount of savings possible if patients were treated early on, instead of when it was life-threatening was some ridiculous amount—like thirty to fifty percent. With the recession, I’m sure the figure had gone up, but now people are focused on the recession, not on health care, so there is a danger that health care “reform” might get scuttled by the Republicans.
The only way we can save costs in health care the Republican way is if we eliminate the mandate for hospitals to provide care in life threatening or other situations for those who can’t pay. Then the “free” market has a chance. Of course, lots of people will die, but Republicans don’t care about that kind of thing. Or maybe they have blinders on and don’t believe it will happen.
Anyway, if they don’t propose to eliminate the care mandate, then any claims of supporting the free market are false. In which case, I have no idea what they would propose, nor why they would propose it.
My main point, I think, is that we are all in this together. The increased costs of care get shifted onto us when providers charge insurers more due to a higher level of uncompensated care. Insurers pass that on to us in the form of higher premiums and greater expenses for Medicare and Medicaid, which means higher taxes.
By allowing there to be uninsured people, we raise the overall cost of health care in this nation, and then we pay for it. All in the name of supposed private enterprise. What it really is is that insurers are essentially being guaranteed a profit (on an overall industry level, not for individual insurers) for insuring healthy people, while we pay higher taxes to insure poorer, sicker people. In other words, votes against universal insurance are essentially votes for higher taxes.