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The difference between the family's maximum contribution to health insurance premiums and the cost of the health insurance premium is paid for by the federal government. To understand how each bill can affect different poverty levels and incomes, see the Kaiser Family Foundation 's subsidy calculator Archived April 22, 2013, at the Wayback Machine
Most of this money comes from the federal government, followed by state and local tax appropriations for hospitals. Another study by the same authors in the same year estimated the additional annual cost of covering the uninsured (in 2001 dollars) at $34 billion (for public coverage) and $69 billion (for private coverage).
Article IV, Section 4, Clause 1 of the United States Constitution tasks the federal government with assuring that each state's government is so organized. [1] All state governments are modeled after the federal government and consist of three branches (although the three-branch structure is not Constitutionally required): executive, legislative ...
Households with incomes from 150-400% of the federal poverty level ($88,200 for a family of four) would pay on a sliding scale from 4-9.8% of their income on premiums, rest will be covered by government advanceable, refundable tax credit. Health plans would cover 70% of the cost of the benefits. [21] [22]
Proximate reasons for the differences with other countries include higher prices for the same services (i.e., a higher price per unit) and greater use of healthcare (i.e., more units consumed). Higher administrative costs, higher per-capita income, and less government intervention to drive down prices are deeper causes. [4]
After the American Civil War, the federal government established the first system of medical care in the South, known as the Freedmen's Bureau. The government constructed 40 hospitals, employed over 120 physicians, and treated well over one million sick and dying former slaves. The hospitals were short-lived, lasting from 1865 to 1870.
Initially 25 states and D.C. expanded Medicaid with funding from the federal government provided by the ACA beginning in 2014, and as of Sep 26 2023 there are 41 states (including Washington, D.C.) that have expanded coverage.
Federal laws that do not explicitly regulate the "business of insurance" do not preempt state insurance laws or regulations. The act also stipulates that federal antitrust laws will not apply to the "business of insurance" as long as the state regulates it, though they will apply in cases of boycott, coercion, and intimidation.