Iowa adults remain split over the Affordable Care Act, a new Iowa Poll shows. Fifty percent believe it has been mostly a failure, and 44 percent say it has been mostly a success.
The decision to have the federal government bolster Medicaid and the Affordable Care Act insurance providers (Problem Solver’s Plan) is a larger decision than providing health insurance to our populace [Obradovich: Grassely, Ernst consider CPR for Obamacare, Aug. 6].
According to the Kaiser Institute figures, it is possible for a family of four in Iowa with an income of $90,000 to obtain a federal subsidy of $2,400 per year to buy health insurance. If the family of four makes less than $35,000 per year, they are eligible for Medicaid and will likely pay almost nothing for their health care. These income levels make up 1.35 and 3.69 times the federal poverty level, and just under ($35,000) and way over ($90,000) the average family income in the U.S.
What we are seeing is the gradual assumption of health care costs by the federal government. There seems to be no public (i.e., voter) appetite for rolling back these measures as the Republican House and Senate bills attempted to do. What we are left with (the “larger decision” mentioned above) is a debate that is moving leftward.
We need to start talking about our desire to have the federal government make many of our health care decisions for us. It may be time to discard the private health insurance model and turn health care over to the feds, either in a Medicare-for-all model or a totally socialized system, abandoning fee-for-service medicine.
— Dr. Tom Carlstrom, Clive
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