That wouldn't be enough to provoke the dreaded insurance "death spiral" in which higher premiums drive off healthier customers, leaving progressively sicker populations to dominate the risk pool and sending premiums even higher, but it would certainly burden enrollees who don't receive premium subsidies and thus might be inclined to drop their coverage.
And in that middle zone, lower-income Americans would almost certainly be burdened with higher out-of-pocket costs — and be able to afford fewer doctor visits, fewer tests, fewer procedures than wealthier Americans — under the catastrophic-insurance model than under a Medicaid-For-Most alternative.
"Certainly, when burdens shift, everybody has a position that they would use to defend their situation which is going help them avoid paying more," Mr. Thompson said.
With judicious clarity, the film lays out conflicting views in an Arabic-speaking community, a mix of Muslims and Christians, under immense political and economic pressure certainly, but also just as burdened by the romantic nationalism of exiles – such as Shadi's girlfriend's dad – as it is by oppression from the Israeli state.
As the push for disclosure gained ground in the last 30 years, disclosures became "so long and confusing that they didn't really help consumers, but they certainly posed burdens on lenders," Mr. Cordray said.
And certainly, the burden of proof is on those who are claiming, as the strengths-based movement did in its original form, that focusing on people's faults and weaknesses is disadvantageous.
There is certainly a burden not just for the patients but also for caregivers and the healthcare system.
Certainly, there's not a patient that presents in our institution today that is not burdened by the idea of the cost of care.
