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mlguenther

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The author missed a very important reason why hospitals are charging such high fees. In 1986 Reagan passed the "Emergency Medical Treatment and Active Labor Act". Since that time, hospitals are required to treat anyone, regardless of whether or not they have insurance, as if they were a fully insured patient. My wife, who is a physician in a busy hospital, consistently sees about 40% of her patients have no health insurance and are receiving free healthcare from that hospital. This may vary based on location, but I cant imagine by much. Hospitals foot the bill in this situation, and that is why costs to the insured are much higher.

Everybody seems to think they are smarter than everyone else when it comes to healthcare reform, but in all of the "smoking gun" articles that are posted, none of them have ever touched on this fact.

Even the new healthcare plan that passed does not address this directly, it assumes that the people who do not have healthcare will use a state healthcare exchange to get their own. I am a little pessimistic about this, and am assuming that only a small percentage of those people will do this.

Yes, there are many ways to offset the income with expenses. Though what most Kickstarter video game devs are finding out is that they may not use all of the money as expenses in the first year. If you are accounting on a "cash" system, you would have to pay tax, if you are accounting on an "accrual" system, you would not have to pay tax until the game is released, regardless of how many expenses you have.