There are provisions in the ACA about reimbursements being driven by successful results, though god knows how that would be measured. The entire government angle has been to provide subsidized insurance, nothing I have seen says anything about access outside of maximum distance requirements to hospitals that provide certain 'essential' services.

ObamaCare officials confirm there is still no system built for taking billions of dollars in subsidies and giving it to the insurance companies. So how does the system work without a payment mechanism? Tonight, Megyn Kelly reported that the administration is going to let insurance companies estimate how much money they should receive. Then the feds will cut them a check and figure out the real amount later.

When do we have the discussion about quality and or the lack therof in this country? Where you live, has a tremendous effect on whether you live or die based on the care you can get depending on your malady.

All the marketing leading up to the ACA is in how many people "who didn't have insurance" will be able to have insurance now, as if insurance actually healed or even helped people.

http://www.usnews.com/news/articles/2013/12/10/colin-powell-endorses-single-payer-health-care

Colin Powell Endorses Single-Payer Health Care

Former Chairman of the Joint Chiefs of Staff and Secretary of State Colin Powell attends an event honoring the 20th anniversary of the Persian Gulf War on Jan.20, 2011, in College Station, Texas.

Former Secretary of State Colin Powell marveled at the success of single-payer health care in places such as Canada, South Korea and across Europe.

At a prostate cancer survivors breakfast last week, former Secretary of State Colin Powell, a Republican, marveled at the quality of single-payer health care systems abroad and suggested the U.S. follow suit.

Amid frustration with the rollout of President Barack Obama's health care plan, some members of Congress who agree with Powell are pushing for consideration of such a system.

Sen. Bernie Sanders, I-Vt., introduced the American Health Security Act of 2013 on Monday, which would require states to create their own single-payer insurance systems. A House version was introduced in March by Rep. Jim McDermott, D-Wash.

In single-payer systems, the government pays for most non-elective medical care. Supporters say adopting that tax-financed model would improve care and dramatically reduce costs by eliminating overhead and insurance company profits. Opponents fear rationing and reduced personal choice.

The 2010 Affordable Care Act, commonly known as Obamacare, retained the private health insurance industry and forces Americans to buy private insurance policies or face a fine. Attempts to include a public health insurance option were blocked by Republicans and conservative Democrats who feared it would be a backdoor to a single-payer system.

Powell said, however, that he would welcome the adoption of a socialized insurance system.

"I don't see why we can't do what Europe is doing, what Canada is doing, what Korea is doing, what all these other places are doing," Powell said at the Dec. 5 event. "I am not an expert in health care, or Obamacare, or the Affordable Care Act, or however you choose to describe it, but I do know this: I have benefited from that kind of universal health care in my 55 years of public life."

The retired four-star general pointed to his military health insurance as an example of high-quality government insurance and shared an anecdote regarding his firewood supplier -- a woman named Anne -- who sought help paying for an MRI scan not covered by her private insurance policy.

"Every country I've visited, every developed country, they have universal health care ... I think universal health care is one of the things we should really be focused on," Powell said. "Whether it's Obamacare, or son of Obamacare, I don't care. As long as we get it done."

Although widely regarded as a possible GOP presidential candidate in the 1990s, Powell drifted from party orthodoxy during President George W. Bush's second term, growing increasingly skeptical about the Iraq War. He endorsed Obama in 2008 and 2012.

Rep. Rush Holt, D-N.J., sees Powell's endorsement of single-payer systems as a sign Americans will embrace the idea "sooner rather than later."

"It's not a foreign idea," he said, pointing to millions of Americans with Medicare, Medicaid and military-provided health insurance.

Holt is an enthusiastic supporter of the Expanded & Improved Medicare For All Act proposed by Rep. John Conyers, D-Mich. The bill has been introduced annually since 2003 and would finance public health insurance for all Americans with a payroll tax. Holt also supports Obama's health care overhaul, but feels it should be considered a first step.

Yeah. I know everything is not always as it seems, and nothing's black and white, and there's usually more to the story..blahblahblah...that is just plain ridiculous.

If the government is going to do anything, how about we pass some laws that actually provide the consumer with information like what a service actually costs at the end and or the contents of that product that we are consuming.

I thought the ACA did require estimated pricing for common procedures, but I don't know for sure and the administration seems to be enforcing only select provisions of the law.

your wait time is... 3 HUNDRED AND 46 MINUTES.