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Subsection of Annual Privatization Report 2013: Criminal Justice and CorrectionsMay 6, 2013
This subsection of Reason Foundation's Annual Privatization Report 2013: Criminal Justice and Corrections reviews the latest developments on correctional healthcare privatization at the state level.
This morning the U.S. Supreme court determined the Affordable Care Act (ACA), or “ObamaCare,” to be constitutional in National Federation of Independent Business v. Sebelius. One of the most significant aspects of President Obama’s healthcare reforms is the establishment of state-level health insurance exchanges. After today's ruling the exchanges will remain in place.
Beyond just government spending on health care increasing in the coming decades, which is a rather hot topic this week, private health care costs are set to grow at an increasingly exponential rate in the coming years. This is not necessarily something new, as we've had rising health care costs for decades now. But what is going to be a challenge for the economy is that economic prosperity trends America had in the 20th century were able to absorb these rising costs in a way we won't see in the next few years since those trends have flatlined.
As the Supreme Court hears challenges to the Patient Protection and Affordable Care Act this week, a new Reason-Rupe poll of 1,200 adults finds 62 percent of Americans believe it is unconstitutional for Congress to mandate the purchase of health insurance, while 30 percent think requiring health insurance is constitutional.
Legal experts have suggested that if Congress has the power to require individuals to buy health care insurance, it may also mandate that Americans buy broccoli. The Reason-Rupe poll finds 87 percent of Americans believe Congress does not have the power to require the purchase of broccoli, while 8 percent say Congress can force you to buy vegetables.
Reason-Rupe finds 54 percent of Americans think the health care law will result in the rationing of health care services. Half of Americans have an unfavorable view of the health care law, while 32 percent have a favorable view of it. Similarly, 49 percent say the law should be repealed and 36 percent would let it stand.
When it comes to addressing their health care needs, just 23 percent of Americans trust the government. That’s less than half of the 50 percent who say they trust health insurance companies and considerably lower than the 84 percent who trust their doctors.
The Reason-Rupe poll results reveal some health care reforms that the American public would support. Over two-thirds, 69 percent, of Americans would like to be able to shop for health insurance in the same way they shop for auto insurance. And many are willing to move away from our existing system to do so: 48 percent of Americans would prefer to receive the money their employers spend on health care as part of their paycheck and then shop for their own health care plans. Forty-one percent would like to continue to get insurance through their employer.
View Resources by Type
- Taking Steps Towards Better Child Welfare Programs In Nebraska
The focus should be on the kids and outcomes, not reorganizing state agencies
February 8, 2012
- Measure 50: Are Tobacco Taxes The Answer To Funding Children's Health Programs?
Policy Brief 65
January 29, 2008
- Privatizing Public Hospitals
A Win-Win for Taxpayers and the Poor
November 1, 2005
- Emergency Medical Services Privatization
Frequently Asked Questions
Ted Balaker and Adam Summers
August 1, 2003
- The Future of Local Emergency Medical Service: Ambulance Wars or Public-Private Truce?
Policy Update 18
Robin A. Johnson
August 1, 2001
- Protecting the Children
Risk Assessment, Risk Management, and Children's Environmental Health
June 1, 2001
- Privatizing Public Hospitals
Strategic Options in an Era of Industry-Wide Consolidation
April 1, 1998
- Solving the Medicaid Puzzle
Ideas and Strategies for State Entitlement Reform
October 1, 1997
- Health and Social Services in the Post-Welfare State
Are Vouchers the Answer?
John Hall and William D. Eggers
August 1, 1995
- State and Local Correctional Healthcare Privatization Update (5/6)
- The Real Causes of Rising Healthcare Costs (4/24)
- Where Swing States Stand in Implementing “ObamaCare” Exchanges (6/28)
- How Rising Health Costs Will Hurt the Economy (3/27)
- Reason-Rupe Poll: Americans Don't Think Health Care or Broccoli Mandates Are Constitutional (3/26)