“Actual Medicaid enrollment in 2021 for people below the age of 65 was 71.6 million people.”
“according to CBO’s latest estimates, the cost of the ACA will be $204 billion in 2022: $116 billion from the Medicaid expansion, $78 billion from the [premium tax credits] PTCs, and $10 billion on its Basic Health Program, an alternative to the PTCs for lower-income enrollees in the states of New York and Minnesota.”
“Only 4.5 million people who are lawfully present in the United States lack health insurance and are not eligible for Medicaid, PTCs to buy an exchange plan, or employer-sponsored insurance. This is only 1.7 percent of the American under-65 population and indicates that most people without health insurance have made a voluntary decision to be uninsured.”
I could replace Social Security, Medicare, private pensions and 401k accounts with one unified program, here’s how.
When a child is born who has at least one parent who is a citizen and the workers other is here legally (No anchor babies) the Social Security administration opens that child a mutual fund account linked to the S&P 500. T he account cannot be accessed for 65 years. It will is not transferable and when the permit dies any remaining funds are returned to the government.
Over The last 125 to 150 years the stock market has averaged 11% percent return a year. Assume 9%, compounding annually and everyone would retire with over 15 million dollars, or 30 million per couple
I would wager the government loses more than $50000 on every person right now so over time this would save money. Simply run the current program until the current users die off.
This gives people an incentive to elect governments that pursue non inflationary and nonrecessionary policies
https://www.investor.gov/financial-tools-calculators/calculators/compound-interest-calculator