During discussions of the Affordable Care Act, there was concern that some procedures would be harder to obtain. There was even worry about 'death panels' such as in the United Kingdom National Health Service.
It will be just the opposite in the short term, based on how utilization changed after earlier insurance reform in Massachusetts, according to an article by Chandy Ellimoottil, M.D., of the University of Michigan, Ann Arbor, and colleagues.
By looking at insurance expansion and utilization of discretionary and non-discretionary surgical procedures in one state, they project that surgery will go up - at least until taxpayers start getting the bill.