[FreeReign]

2. Out of pocket service care that only the rich can afford. If you really need that surgery, then pay up!

They will outlaw tier 2.

[dhs12345]

Yup. But not for rich Hollywood actors and our keepers in Washington — the upper snootly classes.

The common riff-raff like you and I will be screwed.

[desertfreedom765]

Medical tourism will become a big business.

[VRW Conspirator]

They will outlaw tier 2.

I foresee a rise is out of country vacations for surgeries.

[RFEngineer]

“They will outlaw tier 2.”

That is how the Canadian system operates. We don’t want to emulate that. The UK and Australian systems allow for a private side to care, and a substandard “free” side to care.

[buckalfa]

"They will outlaw tier 2."

CMS/Medicare already has regulations that hamper "concierge" medicine. Medicare will only pay for hospital or specialty services when referred by a participating Medicare provider. Thus, if you are of means and want to have your medical care be off of the grid, so to speak, you have to pay cash for all care. The answer may be the development of concierge hospitals that do a cash only business. Even that may be problematic as licensure of hospitals is tied into compliance with CMS/Medicare regs. As point out, tier 2 can be simply outlawed.