There was an op-ed by the Wall Street Journal editorial board this morning blasting recent health insurance premium increases under the Affordable Care Act (ACA, i.e., "Obamacare"). The most interesting line in the editorial was: "Underlying health costs continue to rise, but this trend is merely about 3.5% to 7% depending on the state." "Merely"!?! Given that average US real wages only increased a bit over 2% with no CPI inflation over the past year, "health costs" as defined here are going up around 2-3 times faster than people's ability to pay. This is consistent with trends over the past 30+ years of rarely-abated high health care inflation. At least the WSJ got one thing right: the ACA's promise of prevention and lowering health care costs has proven to be a fig leaf, covering up the main ACA priority of increasing access to health care--a noble but very expensive and ultimately unaffordable goal when health care costs are 50-100% higher in the US than any other major country. All ACA subsidies are going on the kids' and grandkids' credit card, aka the US national debt; hardly "affordable" from an inter-generational point of view. Until the media start talking much more about how unhealthy habits need to be changed to lower health care inflation, we'll keep ignoring root causes and stay mired in high health costs.
I get so tired of hearing this: "It costs less to buy a burger from McDonald's that to eat healthy food from the supermarket." "Low-income families just buy processed food, they don't cook their own food anymore." That always sounded questionable. Here is a study showing in great detail that fast food is much more expensive than healthy food bought at the supermarket . Also, it turns out that the vast majority of meals eaten by low-income families are prepared at home: Blisard N, Stewart H. How low-income households allocate their food budget relative to the cost of the Thrifty Food Plan. Economic research report, United States. Washington, DC: Department of Agriculture, Economic Research Service, 2006;20. What is true is that buying healthy vs. unhealthy foods can cost $1.50/person/day more, at retail prices. However, when health cost consequences are factored in, unhealthy foods cost twice as much .
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