Tag Archives: Affordable Care Act

Death Spiral: 6.5 Million People Choose To Pay Tax Rather Than Buy Obamacare

For those who still aren’t convinced that Obamacare is trapped in an inescapable death spiral that will inevitably end in nothing short of an epic collapse of the federal and state health insurance exchanges, perhaps you should consider the following facts from the National Review and Mark Farrah and Associates.

–  Four heavily promoted open enrollments have taken place run by the Obama administration and the state exchanges.

–  Federal law has required people to purchase insurance or pay a fine — and the individual mandate was administered through 2016 by the Obama administration. In fact, in 2015, 7.5 million people paid the fine, while 6.5 million paid the fine in 2016, according to the IRS.

–  Every one of the people in the insurance market earning less than 400 percent of the federal poverty level were eligible for premium assistance — and those below 250 percent of the poverty level were also eligible to have their deductibles and co-pays subsidized.

–  After all of this, only about 40 percent of those eligible for subsidies have signed up for coverage. In what other business or government program would such a dismal acceptance by those it was targeted to serve be considered a success?

–  The number of insurance companies participating is on track to shrink by 38 percent in 2018.

And then there is the chart below…if people really saw “value” in Obamacare wouldn’t you expect that more than 2% of the people who don’t qualify for subisidies would sign up?

Finally, I will suggest the real test of whether a health-insurance program is stable is whether the consumers for whom it is intended believe that it provides them with value. Here is a chart of the take-up rate on the federal exchanges under the Affordable Care Act; excluding the “Over 400%” category, all of these individuals are eligible for subsidies. This chart represents data from last year, but with only a 4 percent reduction in those purchasing on the exchanges between 2016 and 2017, it should remain a fair indication of consumer approval of the program.

The health-insurance industry has long considered a 75 percent take-up rate to be the gold standard in evaluating whether an insurance pool is stable — i.e., whether there are enough healthy people signed up to pay the claims of the sick. While the exchanges appear to have achieved this for the lowest-income consumers — those who get the biggest premium subsidies and also have their out-of-pocket costs subsidized — only 17 percent of those making 301 to 400 percent of the poverty level have signed up.

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Still not convinced, how about this?  The “off-exchange market” (i.e. people who make too much money to quality for subsidies and whose premiums are required to subsidize everyone else who does qualify) contracted by 2.1mm in 2016, or a 29% drop.  With those kind of declines, it’s only a matter of time until there are no more rich fools in the pool willing to continue subsidizing a broken system.

Also, MFA published the same report in 2016, facilitating a year-over-year comparison. The on-exchange market fell from 12,681,874 to 12,216,003 individuals, a reduction of 465,871 or 4 percent. However, the off-exchange market fell from 7,520,939 to 5,361,451, a reduction of 2,159,488 or 29 percent. In other words, enrollment is steady among those who receive subsidies but declining dramatically among those who do not.

Much has been made of the question of whether the individual markets are in a “death spiral.” Given that the on-exchange market enrollment is relatively stable, there is clearly not a death spiral in the subsidized market. However, with a reduction in the unsubsidized market of 29 percent in just one year, that pattern certainly looks like one we would expect in a market spiraling down.

Meanwhile, of course, that 29% drop exactly why insurance companies are expected to hike their rates by 20-40% in certain markets again in 2018…

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…and why rates have soared an average of 113% over the past 4 years, or nearly 30% per year.

Source: ZeroHedge

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To Remove ObamaCare We Must First Remove The UniParty “Big Club”…

By Sundance | The Conservative Treehouse

President Trump is the first political entity in our lifetime that not only comprehends the faces of the false arguments (the personalities of false choice), but more importantly sees the architects behind the Potemkin villages represented by those faces.  When it comes to domestic economic policies, the architects are the BIG CLUB.

So, what is “The Big Club“?

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..What “Deep State” is to intelligence, military intervention and foreign policy – The “BIG CLUB” is to matters of domestic economics…

Politicians do not write laws.  Paul Ryan, Nancy Pelosi, Mitch McConnell and Chuck Schumer do not sit in their offices writing out scripts of laws and legislation; no politician does.  Politicians are the faces who sell legislation that unseen hands create.  The Big Club are the hands that create the legislation.

As such, it makes no sense to argue about the salesmanship of Ted Cruz or Elizabeth Warren when neither Cruz nor Warren are creating the legislative constructs they are selling.

Indeed, it makes much more sense to focus the attention on the unseen hands that are never discussed – These are the roots of the issues, the politicians are merely the expendable and interchangeable sales force.

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The Big Club are massive and complex networks of lobbying groups who actually write legislation.  What follows, depending on their own evaluation of importance therein, are payments to the politicians to go and sell their construct.

The amount of payment varies depending on how valuable the construct is to the interests of the Club.  Big legislative constructs that provide the Club large income increases are worth more than smaller ones.

This is the accurate background framework to consider ObamaCare.

Within The BIG CLUB there are, essentially, two larger factions with interest: Big Labor and Wall Street (big crony-business).  There are other factions like Big Green (Al Gore) etc. However, for the sake of ObamaCare the two that matter are “Big Labor” (AFL-CIO, SEIU, AFSCME, UFCW etc), and Wall Street (U.S. Chamber of Commerce, Tom Donohue).

The Big Club has paid for ObamaCare’s construct, and they are not going to allow their sales force to walk away from it.  From their position, this is a massive ‘multi-multi-hundreds-of-millions’ expenditure that has already taken place.

Tom Donohue (U.S. CoC) already lost hundreds of millions when his construct (his team actually did the writing) of TPP was lost due to Donald Trump.   Donohue’s TPP loss followed the loss of Comprehensive Immigration Reform (2014 Dave Brat), and his loss of Common Core Education standards, again with Donald Trump.

Donohue spent hundreds of millions on Gang of Eight, Common Core, TPP and ObamaCare.

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Donohue paid off AFL-CIO’s Richard Trumka to get him to stop being public about his opposition of TPP.   The quid-pro-quo was transparently most evident when Trumka endorsed candidate Hillary Clinton who was supporting Donohue’s TPP.

Having lost TPP, Go8 and Common Core, there is no way Tom Donohue is going to accept losing his biggest investment to date, ObamaCare.

♦ Big Labor support ObamaCare for a few reasons.  #1 it granted fiscal stability to their retirement programs which were failing with the increased costs of providing healthcare coverage.  #2 it creates additional profit margin space within union companies for more lucrative compensation contracts.  And #3 ideologically it was constructed to eventually end up with a single-payer system.  All three points are great for Big Labor.

♦ Wall Street supports ObamaCare because it:  #1 removes the cost of providing healthcare from the cost of producing products in the U.S. [However, you’ll note the consumer price of manufactured goods never actually decreases, instead the savings go to the profit margin.] #2 allows the manufacturing cost equity to streamline globalization efforts.

Both primary factions within the BIG CLUB stood to gain substantially if they could shift the cost of healthcare from their individual ledgers into the personal checkbooks of the U.S. consumer.  Hence, they looked at the lobbying cost of ObamaCare as a long-term legislative investment with a massive upside.

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After the GOPe wing of the UniParty was voted into the majority in both houses (2014), the Big Club sales people (politicians) needed to give the illusion of “repeal” or “removal”, but not actually do anything which would remove it.  So long as Obama was in office the optical games were easy; with Clinton later in office the games would be no longer needed.

Big Club spends to make sure Clinton wins the Presidency.

#NeverTrump making sense now?

Rut Roh.

Now, fast forward to 2017 and President Trump is in office on a promise to repeal and replace ObamaCare.

Oh snap, NOW what is the Big Club going to do?

Stall for time…. Quick construct plan to deal with the unexpected.  Stall, block cabinet and down-stream confirmations… Activate astroturf to provide Sales Force cover…  Paul Ryan lies to Sean Hannity… etc.

More things reconciling now?

Meanwhile, President Trump understands exactly what they are doing.

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President-Elect Trump met with Richard Trumka and outlined larger administration pro-jobs objective assurances.

Once in office, President Trump works around Donohue and goes to the manufacturing and business community directly.

Now Trump is highlighting how deregulation, tax policy and other pro-growth America-First objectives will more than compensate them for any ObamaCare recall.

The battle/negotiation you see in the media is the visible stuff going on amid the Big Club’s sales people, the politicians.  However, the REAL ObamaCare removal negotiation is going on behind the scenes where the Trump Administration is taking on The Big Club directly…

Once you see the strings, it’s almost impossible to watch the marionettes and not see them.

However, that doesn’t mean the puppet show has to be less enjoyable….

….Specifically because we have President Trump, it is entirely possible to simultaneously watch the show, and yet still look up toward the scaffolding and see the shadows of the hands controlling them.

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Lobbying Ban – Executive Order

Obamacare Sticker Shock: Average 2017 Health Tax Premium Surges 24%:

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It’s going to be real bad. Note: These calculations were done by Charles Gaba just before Aetna dropped out of 536 markets. Thus, these projections underestimate the premium increases.

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One of governments greatest Oxymoron’s –  THE AFFORDABLE CARE ACT

Congress and the White house had absolutely no control or idea what the cost of Obamacare would be ……..none, except that the premiums would rise.    It has become affordable only to those that never had it.   Those that did, were lied to about keeping their doctors, the cost continues to rise.   Funny thing, 2017 will be have an even greater increase.   Even with medical insurance, many can no longer afford to go to the doctor, let alone hospital.   Deductibles are higher, and coverage less.  Services or items covered have risen in cost and often no longer covered by your insurance.   People are beginning to not seek treatment, they can not afford to be ill; insurance or not; especially those retired, Medicare won’t cover it all either.

The Affordable Care Act: America’s greatest OXYMORON created and passed by MORONS.   “We have to pass it before we can read it.”   Nancy Pelosi    (California’s favorite moron).

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source: Arlin Report

Is This The Beginning Of The End For The Affordable Care Act?

Largest US Health Insurer Ditches ObamaCare

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Tracking the slow motion train wreck of Obamacare has become one of our preferred hobbies: below is just a random sample of headlines covering just the most recent tribulations of the “we have to pass it to find out what’s in it” Unaffordable Care Act:

But the most surprising article we wrote was our explanation from three weeks ago explaining why “Your Health Insurance Premiums Are About To Go Through The Roof” showing that even insurance companies have been unable to earn a profit under Obamacare, as shown in the following chart:

This was a stunning revelation because, after all, the Affordable Care Act was largely drafted by the insurance industry itself, and if for whatever reason, it itself was unable to capitalize on Obamacare, then it has truly been a disaster.

Today we got confirmation of this when none other than the U.S.’s biggest health insurer, UnitedHealth, cut its 2015 earnings forecast with a warning that it was considering pulling out of Obamacare, just one month after saying it would expand its presence in the program.

According to Bloomberg, “UnitedHealth Group would scale back marketing efforts for plans it’s selling this year under the Affordable Care Act, and may quit the business entirely in 2017 because it has proven to be more costly than expected.

This was precisely what we cautioned on November 2.

Fast forward to today when UnitedHealth said in a statement that “the company is evaluating the viability of the insurance exchange product segment and will determine during the first half of 2016 to what extent it can continue to serve the public exchange markets in 2017.”

Needless to say, the implications for Obamacare – which has seen a surge in tangential problems in recent months – are dire: “A pull-back would deal a significant blow to President Barack Obama’s signature domestic policy achievement. While UnitedHealth has been slower than some of its rivals to sell Obamacare policies since new government-run marketplaces for the plans opened in late 2013, the announcement may indicate that other insurers are struggling, said Sheryl Skolnick, an analyst at Mizuho Securities.

“If one of the largest and presumably, by reputation and experience, the most sophisticated of the health plans out there can’t make money on the exchanges, then one has to question whether the exchange as an institution is a viable enterprise,” Skolnick said.

UnitedHealth further said it suspended marketing its individual exchange plans and is cutting or eliminating commissions for brokers who sell the coverage.

What is surprising is that for UnitedHealth, its Obamacare-facing exposure is relatively limited: the company covers fewer than 550,000 people on the Obamacare exchanges. About 9.9 million people had insurance through the U.S.- and state-run insurance markets as of June 30. This means that all other insurance companies must be getting crushed, something which the market also noticed earlier today hitting the stocks of not only hospitals, such as CYH, HCA, LPNT, THC and UHS but also home health care providers as well such as AFAM, AMED, GTIV and LHCG.

What is perhaps even more perplexing is the abrupt shift in posture: just last month, UnitedHealth had struck a more optimistic note. I think we’ll see strikingly better performance on the insurance exchange business” next year, Chief Financial Officer David Wichmann told analysts on an Oct. 15 conference call.”

Perhaps he had not seen the P&L? Oh well, he certainly did in the subsequently 4 weeks.

The rest of the story is well-known and has been covered here extensively in the past: the inability of businesses to turn a profit from Obamacare has meant that about a dozen non-profit “co-op” plans created under the Affordable Care Act have failed, after charging too little to cover the cost of patients’ medical care, and because an Obama administration fund designed to stabilize the market paid out just 12.6 percent of what insurers requested. And Anthem last month said some rivals were offering premiums too low to provide the coverage patients require and book a profit.

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At the end of the day, the worst news is not for the corporations, since Obamacare is not going away any time soon. It simply means that what until now were supposedly Affordable plans under Obamacare, will soon become (even more) Unaffordable as insurer after insurer hikes premiums dramatically in order to make the biggest US governmental intrusion into the private sector in recent decades profitable to shareholders.

Or, as we explained three weeks ago, “Your Health Insurance Premiums Are About To Go Through The Roof


UnitedHealth CEO Regrets Entering ObamaCare

The CEO of UnitedHealthcare on Tuesday said he regretted the decision to enter the ObamaCare marketplace last year, which the company says has resulted in millions of dollars in losses.

“It was for us a bad decision,” UnitedHealth CEO Stephen Hemsley said at an investors’ meeting in New York, according to Bloomberg Business.

UnitedHealth, the country’s largest insurer, announced last month that it would no longer advertise its ObamaCare plans over the next year and may pull out completely in 2016 — a move that sent shock waves across the healthcare industry.

Hemsley’s remarks double down on his earlier warning that the ObamaCare exchanges remain weaker than expected after two years and that it will take far longer for insurers to profit from the millions of new enrollees. 

The company had already eyed ObamaCare’s federal marketplace cautiously since it launched in 2013. UnitedHealth only began selling plans on the exchanges last year.

Now, UnitedHealth officials have said that move will result in a half-billion dollars in losses over two years.

Hemsley said it was smart to sit out of the exchanges for the first year, but that the company should have held out another year.

“In retrospect, we should have stayed out longer,” he said, adding that he believes the marketplace will take more than “a season or two” to develop.

“We did not believe it would form this slowly, be this porous, or become this severe,” he added.

by Sarah Ferris in The Hill


GRUBER: A lack of transparency was how we got this law through.

 

Introducing “The American Opportunity Carbon Free Act”… what?

Senator Sheldon Whitehouse delivers a weekly speech on climate change on the Senate floor, a series he dubbed “Time to Wake Up.” (Photo credit: Office of Sen. Whitehouse)

Stupid American voters are being heavily conditioned by main stream media for the next massive tax increase before they’ve had a chance to deal with the last one, Obama Care.

Remember Cap and Trade? This one, “The American Opportunity Carbon Free Act”, reported as being formally discussed in the US Senate on a weekly basis since last November’s mid-term elections is a proposed tax on fossil fuels used by manufactures. This revenue act would also assess fees for other greenhouse gas emissions and tariffs on products from countries who aren’t taxing their manufactures in the same way.

Below is a prime example of how government has been using main stream media to scare stupid American voters into accepting the climate change lie behind “The American Opportunity Carbon Free Act”, before it ultimately gets crammed through congress like Obama Care. This makes me wonder if Jonathan Gruber, the highly compensated consultant architect of The Affordable Care Act, made famous for referring to the rest of us as “stupid American voters” have been hired to help sell this one too.

The key words and punch lines CBS editors built the following article around are highlighted in red. The same re-occurring themes found in all global warming / climate change propaganda articles.


Mega-Droughts To Become The New Normal

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A stock pond south of Dallas dries up due to a drought. Conditions like this could become more commonplace in the later part of the 21st century due to global warming.

Large sections of the United States will endure “persistent droughts” in the coming decades that will be worse than anything experienced in the past 1,000 years.

Comparing the conditions to the Dust Bowl but lasting several decades, researchers writing in the journal Science Advances warned Thursday that the Southwest and Great Plains will be hit by these “mega-droughts” in the later part of the 21st century. Such events have been linked to the fall of civilizations, including the decline of the Anasazi, or Ancient Pueblo Peoples, in the Colorado Plateau in the late 13th century.

“The story is a bit bleak,” said Jason E. Smerdon, a co-author and climate scientist at the Lamont-Doherty Earth Observatory, part of the Earth Institute at Columbia University. “Even when selecting for the worst mega drought-dominated period, the 21st century projections make (those) mega droughts seem like quaint walks through the Garden of Eden.”

86611.jpgA representation of the summer moisture in the US Central Plains and Southwest is shown. The brown line represents the variation in dryness since the year 1000; the lower the line on the graph, the drier the conditions. Colored lines to the right side of the graph represent what climate models see ahead: a trend toward dryness not seen in the previous millennium. Cook et al., Science Advances, 2015

To come up with these projections, researchers turned to the North American Drought Atlas which recreates the history of drought over the previous 2,005 years, based on hundreds of tree-ring chronologies, gleaned in turn from tens of thousands of tree samples across the United States, Mexico and parts of Canada.

Taking the Atlas data, they then applied three different measures of drought – two soil moisture measurements at varying depths, and a version of the Palmer Drought Severity Index, which gauges precipitation and evaporation and transpiration. After that, the researchers applied 17 different climate models to analyze the future impact of rising average temperatures on the regions and compared two different global warming scenarios – a continued rise in greenhouse gas emissions and one where they are moderated.

The results, according to the study, point to a “remarkably drier future that falls far outside the contemporary experience of natural and human systems in Western North America, conditions that may present a substantial challenge to adaption.”

“The surprising thing to us was really how consistent the response was over these regions, nearly regardless of what model we used or what soil moisture metric we looked at,” said lead author Benjamin I. Cook of the NASA Goddard Institute for Space Studies and the Lamont-Doherty Earth Observatory. “It all showed this really, really significant drying.”

Today, 11 of the past 14 years have been drought years in much of the American West, including California, Nevada, New Mexico and Arizona and across the Southern Plains to Texas and Oklahoma, according to the U.S. Drought Monitor, a collaboration of U.S. government agencies.

The current drought directly affects more than 64 million people in the Southwest and Southern Plains, according to NASA, and many more are indirectly affected because of the impacts on agricultural regions. As a result, states have imposed water restrictions, aquifers have been drawn down and reservoirs such as Lake Meade and Lake Powell are at historic low levels.

“Changes in precipitation, temperature and drought, and the consequences it has for our society – which is critically dependent on our freshwater resources for food, electricity and industry – are likely to be the most immediate climate impacts we experience as a result of greenhouse gas emissions,” said Kevin Anchukaitis, a climate researcher at the Woods Hole Oceanographic Institution. Anchukaitis said the findings “require us to think rather immediately about how we could and would adapt.”

The current study on so-called medieval droughts adds to a large body of research linking climate to worsening droughts in parts of the Southwest. The driver, for the most part, is warming in recent decades brought on by increasing greenhouse gas emissions mostly from the burning of fossil fuels and other human activities.

“The results … are extremely unfavorable for the continuation of agricultural and water resource management as they are currently practiced in the Great Plains and southwestern United States,” David Stahle, professor in the Department of Geosciences at the University of Arkansas and director of the Tree-Ring Laboratory and who was not involved in the study, said.

Aiguo Dai, a University associate professor who did not take part in the study but has done studies on past and future droughts across the globe including the United States, said its findings were “fairly convincing” and hopefully will motivate policy makers to take action.

“This provides huge warning sign for society, for the governments to take action to slow down global warming,” Dai told CBS News. “If they don’t, its likely the Southwest could become unsuitable for agriculture or many other activities.”

http://www.cbsnews.com/news/mega-droughts-to-become-the-new-normal/
© 2015 CBS Interactive Inc. All Rights Reserved.


http://www.commondreams.org/news/2014/11/19/carbon-fee-bill-introduced-senate

https://whiskeytangotexas.com/2015/01/17/the-truth-about-climate-change/

https://whiskeytangotexas.com/2015/01/04/health-care-costs-are-crippling-american-middle-class-workers/

https://whiskeytangotexas.com/2014/11/11/obamacare-architect-credits-lack-of-transparency-and-stupidity-of-the-american-people-for-passage-of-healthcare-law/

American Seniors In Worse Shape Than Those In Other Nations

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by Jason Olivia

The senior population in the U.S. is faring far worse than their counterparts living in other nations in terms of affording health care costs and getting the care they need, says a new international survey.

In the U.S., adults age 65 and older are sicker and more likely to struggle paying medical bills and getting the health care they need compared to their counterparts in 10 other industrialized countries, says the survey from The Commonwealth Fund, a private foundation that provides grants to support independent research focused on improving health care practice and policy.

The 2014 Commonwealth Fund International Health Policy Survey of Older Adults was conducted by phone from March through May of this year. More than 15,000 people age 65 and older participated in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the U.S.

While the study notes that all of the surveyed countries could do better to improving conditions for their elderly populations, The Commonwealth Fund found that the U.S. was home to the sickest of seniors.

Of the Americans age 65 and older who participated, the survey found 87% have at least one chronic illness, while 68% have two or more—the highest rates among the 11 countries analyzed. 

Additionally, more than half (53%) of U.S. respondents reported taking four or more medications—also the highest among other nations—and 25% of American seniors saw four or more doctors in the past year, second only to Germany (39%). 

The U.S. also stood out for having the most 65 and older adults reporting they skipped needed health care because of costs (19%). Moreover, these older adults were also most likely to report they had trouble paying for their medical bills (11%).

In contrast, only 3% of older adults in France skipped health care due to cost-related struggles, while only 1% in Norway and Sweden said they struggled to pay medical bills. 

U.S. seniors’ cost woes aren’t necessarily unfounded as older Americans spend more than their counterparts in other countries for poorer access to health care.

“Despite the near-universal coverage that Medicare provides, older U.S adults in the survey incurred substantial out-of-pocket costs,” said The Commonwealth Fund.

To further illustrate this point, the survey found that 21% of seniors spend $2,000 or more a year out-of-pocket on health care, a higher rate than any other country except Switzerland, where 22% spent that much. In the U.K., only 2% spent more than $2,000 or more per year, while virtually no one did in France.

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Despite paying more, U.S. adults also were less likely to have timely access to the health care they need compared to the other nations.

Only 57% of older adults in the U.S. reported they could get a same- or next-day doctor’s appointment, compared to 83% in France and New Zealand, and 81% in Germany.

Inaccessibility also led to more emergency room visits for this population, with more than a third (35%) doing so for a condition their primary doctor could have treated had he or she been available.

When it came to coordination of care, people in nearly every country reported experiences with either poorly coordinated care of gaps in communication between providers. 

Countries where older adults experienced the some of the highest rates of care coordination problems were Germany, Norway, and the U.S.—41%, 37% and 35% respectively. Such problems included not having a recommended medical test, receiving conflicting information from different doctors, or having a specialist and primary care doctor not communicating. 

The survey was not entirely all U.S. bashing, as it did spotlight several areas where the nation did better than average, or at least kept pace with the majority of the other countries, especially when it came to management of chronic illness, patient-doctor communication, hospital-to-home transitions and end-of-life planning.

About 58% of chronically ill older adults in the U.S. reported they had discussed their treatment goals with their doctors and had clear instructions about when to seek further care. Fewer than half of chronically ill people in the other nations reported the same, with the exception of the U.K. (59%).

The vast majority of older Americans (86%) also reported that their doctor spent enough time with them.

Furthermore, the U.S. had among the lowest rates of seniors reporting gaps in their discharge-planning when leaving the hospital to return home. Only about 28% of American seniors reported discharge arrangement gaps, such as not having written instructions or not knowing what symptoms to watch out for, or whom to contact with a question when they left the hospital. 

For end-of-life planning, older adults in the U.S. were the most likely to have taken proactive steps to express their care preferences in the event they become unable to make decisions for themselves, with 78% reporting they had discussed this with a family member, friend or health professional.

Additionally, 67% reported having a written plan naming someone to make their health decisions for them, while 55% said they have a written plan describing the treatment they want at the end of life. 

“This new survey shows that there are three areas, such as manning patients who have chronic illnesses and hospital discharge planning, where the U.S. does well compared to other countries,” said Robin Osborn, the study’s lead author and vice president and director for The Commonwealth Fund’s International Program in Health Policy and Practice Innovations. “However, older Americans struggle more to get and afford the health care they need, indicating the need to improve Medicare’s financial protections.”

Although there is still much room for improvement for the U.S., as well as among other nations, it is encouraging to see the U.S. health system doing well for older adults in areas like better managing chronic illness, which have been the focus of concentrated efforts for improvement, said Commonwealth Fund President David Blumenthal, M.D. 

“Monitoring our progress over time and comparing it to other nations will be useful during the ongoing implementation of the Affordable Care Act, as more Americans gain health insurance coverage and further reforms are rolled out to improve how health care is delivered,” Blumenthal said.

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