There will likely be more gatekeeping for services. People who are not "vigorous" are more likely to have certain procedures denied. Vigorous is the word my mother's doctor used when he was trying to convey to my mother that something like hip replacement surgery wouldn't necessarily be denied to her under the new system because of her age. Rather if it was someone her age who also had, for example, cancer or cirrhosis and therefore who "based on evidence" or statistics doesn't have a great chance of a long remaining life who might be denied a hip replacement (or spinal fusion). Just an example.
Or some of those premie babies who statistically do not have a good shot of surviving...the parents may lose the choice of whether expensive measures can be taken (unless they have a trust fund).
I find the uncertainty of it kind of scary - who and how will these decisions be made? What decisions will be made?
Our insurance coverage runs from mid year to mid year so we'll probably find out before most people how premiums will be impacted. I know they will go up substantially (they're already pretty high), but that's almost the least of it (even though it is important also)...I'm more concerned about access to services in the future. I guess it will play out over the next year or so...
I wonder how quickly before the med school enrollment goes down and the more highly qualified students decide to pursue other careers?