In the midst of the fury, anger, and frustration with the Affordable Care Act we have been focused on chronic care, outcomes, meaningful use, accountable care organizations, HIT, and coming changes in reimbursement paradigms.
While the majority of health costs occur in the population above 55 years of age, this portion of the population is not as active in the economy. Younger patients illnesses effect their attendance and ability to participate in the workforce, at times. This is a 'hidden expense; to the system which is difficult to measure.
The initial phases of the Affordable Care Act have caused employers to look carefully at their full-time work force, and will shift to more part-time employment. This will in turn stimulate the Individual Family Plans not tied to an employer group plan. History reveals these IFPs are more expensive to administrate than GHPs.
It has been a more than decade long crusade to develop a plan such as the ACA. Some are ecstatic and even euphoric about the ACA to the point of an unrealistic assessment of what the ACA can accomplish. The very worthwhile plan has caused a deep divide between fiscal conservatives, and liberals. What we need is more 'reaching across the aisle and open minds. Both sides must lower the volume.