Affordable Care Act: A Stealth Single Payer System?

Most Americans get private health insurance through their employer. All other developed countries use a single payer system. That is, government provides insurance so that individuals do not lose coverage when they lose or change jobs. But the Affordable Care Act may have the unintended consequence of shifting the U.S. health care system to that more universal method if employers choose to direct workers to federal and state exchanges created by the law. By 2020, 90 percent of American workers could be shifted to exchanges, according to a projection by S&P Capital IQ. This changeover could save American companies an estimated $700 million between 2016 and 2025. Continuous coverage, lower costs—sounds like progress on the way to a more efficient U.S. health care system.

John Howell, Editorial Director