How Obamacare is Unsustainable: Why We Need a Single-Payer Solution for All Americans. By John Geyman, MD, Copernicus Healthcare, January 2015.
The Affordable Care Act is a sitting duck. Working with private insurance companies, hospital chains and Big Pharma, Congress superimposed arcane regulations on an already Byzantine system of financing health care.
Dr. John Geyman cannot resist this target. His new book, How Obamacare is Unsustainable, confirms that the Affordable Care Act (ACA) is not the pathway to a better health-care system. It is one of the biggest impediments.
The structure of this critique reflects Geyman's organized mind. The first of three parts reviews the unhappy history of American health-care reform. The second assesses our health-care landscape five years into the ACA. The last presents a solution: a national single-payer health plan.
History first. Geyman notes that President Obama, from whom the ACA derives its nickname, doomed the reform from its inception.
By inviting the insurance industry, hospital chains and pharmaceutical companies to set the agenda, Obama adopted a strategy similar to his unsuccessful predecessor, President Clinton, in the early 1990s.
This time, these key components of the "medical-industrial complex" fought first with outside industries, then with patient interest groups, and finally with each other. Organized medicine joined the fray. It was not pretty.