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Subject:  Re: Quebec healthcare crisis Date:  11/15/2012  8:32 PM
Author:  DrBob2 Number:  413100 of 507095

With healthcare, I think we are going to get an education in supply and demand. We will have highly trained professionals who have spent years and megabucks getting trained gravitate toward higher paying specialized medicine slots instead of taking on general practice patients for whom the government pays less and less in compensation. Reimbursement and rate hikes will be capped; in general services providers will either supply less or provide inferior quality.

California is setting up health insurance exchanges. As the LA Times reports:
The ability of the exchange to lower healthcare costs remains unclear. Experts said average premiums could rise in the exchange because the Affordable Care Act requires improved benefits, but consumers' out-of-pocket medical costs could decrease under those same changes.

California insurance officials have expressed concern about substantial rate hikes for some existing policyholders going into the exchange.

Under a new rating map approved by state lawmakers, the Department of lnsurance estimated that premiums for similar coverage could increase as much as 25% in West Los Angeles, 22% in the Sacramento area and nearly 13% in Orange County.

Janice Rocco, the state's deputy insurance commissioner for health policy, said her agency is pushing a new rating map that would cap increases at 8%. That proposal could be considered during a special legislative session in the coming months.

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