re: Thomas Gallatin: Obama Doubled Your Healthcare Premium

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But the private insurance reimburses the doctors enough to provide the level of care that you are demanding.

Medicaid? Not so much.

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Doctors don't have to accept Medicaid.

And I think we would need to establish what the break-even point is where reimbursements eliminate certain types of care from being financially viable. Based on cost comparisons we are a huge outlier on the international stage. We pay more for pretty much every service and drug compared to other countries.

....Back to your point though, you are just illustrating the paradoxical problem I was illustrating. The private market has done a poorer job of negotiating down prices then the public side. Which has led to higher per-person costs.

I.E. A dollar to subsidize someones Medicaid stretches further then a Dollar to subsidize someone's private insurance plan.

If the Republicans really wanted to reduce the number of uninsured they would of swapped that 218 billion lost in savings to fund private market subsidies and other reforms, for Medicaid reimbursements instead. Since it has been able to produce more coverage for fewer dollars. But that would mean Republicans have to admit that the public market currently is doing a better job keeping costs down on a per person and administrative basis. But doing that would be a major blow to their narrative.