So, Obamacare has passed.
This now makes health tourism to the US a viable proposition.
We know very well that the treatment there is, certainly for certain cancers etc, vastly better than it is anywhere else. But until now of course you didn\’t go over there for such treatment because you had to pay for it directly.
So, there\’s community rating, meaning that premiums are set as the average across the group, not for you personally. There\’s no ban for pre-exisiting illnesses and finally, there\’s guaranteed issue.
So, you\’re plodding along in the ordinary manner and you get one of those diseases which the government health care systems of other countries deal with well and stay home and get treated. Or die, whichever.
Or perhaps you get one of those diseaes which, say, the NHS doesn\’t treat. Either not well or on cost grounds (say, Herceptin). It now pays to immigrate to the US (and for anyone with a degree it\’s really not that difficult to set it up so that you can) pay $10,000 or so a year in premiums and consume all the health care you want. And thus possibly live as opposed to certainly die at home.
I wonder if the incentive for people to do this has been built into hte cost projections used to pass the law? I doubt it somehow….