"If
the Obama administration thinks it has its hands full trying to create
an effective system for enrolling participants, as the saying goes,
"They ain't seen nuthin' yet." Anyone with experience in the health
care market can tell you that a far bigger problem than program
enrollment or even delivery of services is billing and collections.
Many
of the very people whom ObamaCare was designed to insure are the very
poor, and those folks share a common cultural trait that is going to
guarantee that difficulty: they don't use banks, and most can't get
credit cards. Since virtually all health insurance billing and premium
collection are done either by bank check or electronic transfer through a
bank checking or credit card account, an administrative cost-saver for
insurers, how are these folks going to make their payments?" [Russ Vaughn]
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