Book Review: ObamaCare Survival Guide By Nick Tate

There are several reasons why a book like Nick Tate’s ObamaCare Survival Guide is getting heavy press online. “Obamacare” is a subject that will have quite an intense and overwhelming effect on the lives of a lot of Americans, most of whom continue to remain confused and unaware of it. Nick Tate’s book deals with this subject very clearly.

The subtitle of Tate’s book is “The Affordable Care Act …,” which pretty much explains what readers are about to read. The book is apparently his analysis of the 2,700 page legislation that he has obviously studied. He attempts to highlight both the pros and cons of the Obamacare.

Nonetheless, the book is a good resource guide to understand how American citizens will be affected by this legislation in 2014. According to him, the new law aims to take advantage of major purchasing exchanges in order to level the playing field and reduce costs. Apparently, this will make it more than possible to negotiate better prices from medical services providers and pharmaceuticals.

The theory is that the medical healthcare exchanges will lead to an increase in choices for consumers, consistency, significant economies of scale and standardization for processing transactions. Almost $500 billion dollars will be experienced by Medicare recipients in spending cuts and citizens who do not opt into the system will have to pay a penalty. The law has not set forth any co-payments for preventive services that are approved.

Tate explains that access to health will improve as a result of of this new healthcare reform for those millions of American citizens who are uninsured at the moment. Small business employees will probably benefit from this too since many of them are currently under- or uninsured. In the present decade, the cost of Obamacare has been projected to one trillion dollars (with millions going to this site). He estimates that nearly 85% of the cost of this bill will go into reducing the mass of the uninsured.

He also expresses concern over the details of the fact that too much discretion is being placed into the hands of Independent Payment Advisory Board. This means that a super majority vote will determine recommendations on the subject of cutting Medicare. Additionally, the discretion to assign members to the Board will be in the hands of the President. This idea of having a board has been subjected to criticism in his book, however, he does not recommend what can or should be done to improve the operation of the entity in practice.

This makes it seem that potential inequalities in terms of the functioning of the Board may only be cured by amending the legislation. For instance, the majority of representation of the Board should not be limited to just financial individuals like actuaries and accountants, but should also extend to physicians and insurance companies. Additionally, constituencies like AARP and mayors of cities should also have some representation. He clarifies that this is something that not only concerns him but also physicians who maintain control over how patients are diagnosed and treated.

The bottom line is that ObamaCare Survival Guide is quite a helpful guide for anyone who thinks they might fall ill any time soon. The contents of Tate’s book provide an explanation of how to navigate through the multitude of requirements that the new reform has set forth. The book also highlights areas of the law that need to be amended or clarified. Despite a few other topics that could have been discussed and several questions that remain unanswered, this book is a useful reference.

Note: In many other countries, like Australia, basic health insurance is universal. In fact the type of insurance plans many Australians concern themselves with are funeral insurance, trauma cover, life insurance, and other similarly specific plans. There are even funeral insurance comparison sites that help Australians get informed and avoid the aggressive tactics insurance companies use to get them to sign up for it. It would have been nice if such insurance plans were our main concern too instead of basic health insurance.

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