There will be a huge amount of fraud from corp owned clinics and hospitals. Just like there already is. But they will try to do more fraud and over-charging while the system is being set up.
And behind door negotiations to allow for spurious overcharging on things like rx. Unless we require transparency at every corner and make it illegal for companies to charge over a certain profit margin amount.
BEFORE negotiations start. So there are hard limits. No exceptions for friends. Or bribes.
Luckily, a ton of people with experience working in health insurance will be needing new jobs.
I myself used to work in health insurance.
I remember when the Obama care kicked in. The company I worked for jacked up all the premiums. And lowered the benefits.
Because the Obama care paid what the individuals couldn't. So the higher the premium and the worse the benefits, the more money the insurance company made.
They were charging people $500 a month for shit insurance. That was worse than what people had 6 months previously for $360. $2000 deductable (vs previous $900). Max out of pocket moved up to 5 digits when it had been around $6,000).
I wasn't sure how that wasnt illegal. But they did it. And I never saw it change. I never saw any healthcare company getting called out for the premium spikes that only applied to people getting the ACA subsidies.
It's waste like that , that I'm worried about.
These healthcare companies claimed that the ACA would cost them billions. Because people who were sick. Who had long standing health problems that were severe from not being treated, would be running to the DR now that they had insurance. (Yes, this was their real argument. God knows we had a fuck ton of meetings on it,)
Yet in reality, A law expanding health insurance to so many people, essentially getting a ton of people to buy their product (insurance) was going to make them $$$$$$
Like it was so obvious. They wouldn't lose a dime. I knew they were blatantly lying to us workers. Constantly.
At the same time they fired more than half the people I worked with and outsourced the work to Malaysia. Blamed it on Obama.
So the u.s government gave billions to greedy companies that immediately cut corners to provide a lower quality product whilst simultaneously jacking up the subscription cost and paying out less than ever before.
Also that company was hcsc that I worked for. A blue cross subsidiary. (I think that's the right term).
I have no doubt that all the big ones did this exact same thing though.