And yet the private insurance reimbursement model is literally built on a system of foisting huge overhead on small medical practices.

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In a move as bold as The Babe pointing to the left field fence to call the shot on his next home run, Dr. Zeke Emanuel brother of Rahm and a leading expert on the American healthcare system along with Dr. Jeffrey Liebman, has called his own shot by predicting the extinction of the American private health insurance model by the year 2020.

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As it happens, the first three elements are exactly the model of the ACA. The law includes insurance exchanges, a requirement that private insurers make coverage available to everyone regardless of health status, and the obligation that everyone have at least basic coverage.

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