Professor Clare Bambra and Dr. Alison Copeland from Durham University presented evidence of changes in Britain’s national health scheme that may be indicative of one path that the Affordable Care Act will take in the United States. The research was published in the Oct. 15, 2013, edition of the British Medical Journal.
Funding from Britain’s National Health Service (NHS) originally was intended for funding to be allocated to areas on the principle of providing equal opportunity of access for equal need, much like the Affordable Care Act.
Due to the aging of Britain’s population and a lack of revenue the NHS has been redesigned to a weighted capitation formula that removes the health inequality weighting and increases the emphasis given to age.
The end result predicted by the researchers is that the poorest people with the shortest life expectancy will receive less from the NHS than people who are relatively wealthy and are expected to live longer.
The reduction for the poorest people in Britain ranges from 11 to 27 percent of the present assistance from the NHS.
With the retired baby boomer population in the United States increasing daily and producing additional financial burdens on Medicare the future of the Affordable Care Act may be in the direction of a weighted capitation formula that favors age and wealth because the voting majority in the United States will soon be over 65 years of age.