Government mandating healthcare
Some 240 insurance providers collectively make up its public option. health care specialists are among the best in the world. According to the Commonwealth Fund Commission, in a 2014 comparison with Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the U.
Together, these non-profit “sickness funds” cover 90 percent of Germans, with the majority of the remaining 10 percent, generally higher income Germans, opting to pay for private health insurance.
 Peter Harbage, Ben Furnas, “The Cost of Doing Nothing on Health Care,” Center for American Progress, 2009. Not everyone has time to get better: A briefing book on establishing a paid sick leave standard.” July 2011.
 “Key Features of the Affordable Care Act, By Year.” Washington, D. Available at: Michelle Long, Matthew Rae, Gary Claxton; Anne Jankiewicz; David Rousseau, “Recent Trends in Employer-Sponsored Health Insurance Premiums” .
Follow @DPEaflcio Download this fact sheet as a PDF. “Patients with chronic illness in their last two years of life account for about 32% of total Medicare spending, much of it going toward physician and hospital fees associated with repeated hospitalizations.” The National Academy of Sciences found that among other high-income nations the U. has a higher rate of chronic illness and a lower overall life expectancy. Further, the government outsources some of its administrative needs to private firms. What is clear is that larger firms spend a smaller percentage of their total expenditures on administration, and nationwide estimates suggest that as much as half of the 1 billion spent annually on administrative costs is wasteful. In January 2013, a national pilot program implemented under the ACA began.  OECD (2015), Health at a Glance 2015: OECD Indicators, OECD Publishing. Available at:  The Dartmouth Atlas of Health Care.
health care system is unique among advanced industrialized countries. Rather than operating a national health service, a single-payer national health insurance system, or a multi-payer universal health insurance fund, the U. health care system can best be described as a hybrid system. The federal government accounted for 28 percent of spending while state and local governments accounted for 17 percent. Most health care, even if publicly financed, is delivered privately. Nationally, health care costs for chronic diseases contribute huge proportions to health care costs, particularly during end of life care. It is difficult to determine the exact differences between public and private administrative costs, in part because the definition of “administrative” varies widely.
The Organization for Economic Co-operation and Development (OECD) is an international forum committed to global development that brings together 34 member countries to compare and discuss government policy in order to “promote policies that will improve the economic and social well-being of people around the world.” The OECD countries are generally advanced or emerging economies. government) spending on health care per capita in the U. is greater than all other OECD countries, except Norway and the Netherlands. This seeming anomaly is attributable, in part, to the high cost of health care in the U. Americans with below-average incomes are much more likely than their counterparts in other countries to report not: visiting a physician when sick; getting a recommended test, treatment, or follow-up care; filling a prescription; and seeing a dentist. Fifty-nine percent of physicians in the U. acknowledge their patients have difficulty paying for care. In 2013, 31 percent of uninsured adults reported not getting or delaying medical care because of cost, compared to five percent of privately insured adults and 27 percent of those on public insurance, including Medicaid/CHIP and Medicare. While there is no agreement as to the single cause of rising U. health care costs, experts have identified three contributing factors. Washington, DC: The National Academies Press, 2013. Available at:  Employer Health Benefits 2015 Annual Survey, 2015.
Failure to meet the requirement may result in a Massachusetts state income tax penalty for each month the individual does not have coverage.
Experts suggest that the economic pressure to go to work even when sick can prolong pandemics, reduce productivity, and drive up health care costs. Health insurance premiums in the U. This rate of increase outpaces both inflation and increases in workers’ wages. The Union Difference: Union workers are more likely than their nonunion counterparts to be covered by health insurance and paid sick leave. Available at:  OECD (2015), Health at a Glance 2015: OECD Indicators, OECD Publishing.
In March 2015, 95 percent of union members in the civilian workforce had access to medical care benefits, compared with only 68 percent of nonunion members. Provisions included in the ACA are intended to expand access to healthcare coverage, increase consumer protections, emphasizes prevention and wellness, and promote evidence- based treatment and administrative efficiency in an attempt to curb rising healthcare costs. The Department for Professional Employees, AFL-CIO (DPE) comprises 22 AFL-CIO unions representing over four million people working in professional and technical occupations.
The penalty will equal 50 percent of the least costly, available insurance premium that meets the standard for creditable coverage; however it also varies by age and income.
To learn more about exemptions due to financial hardship contact the Massachusetts Health Connector.