A 2.5 percent excise tax on the medical devices sold for use in the United States. Expected to raise $20 billion from 2013 to 2019.
I work in the medical imaging field and this has been a hot topic for us throughout this fiasco.
That tax on the equipment will simply be passed along to the medical facilities in the form of increased equipment cost. So, now we're making good technology MORE expensive, which means fewer facilities can afford to replace aging equipment. In the long run, this means we start to fall behind in modernization and accurate diagnosis. Rural facilities and small clinics will be especially hard hit as they often struggle to replace major medical equipment without the 2.5% tax added in.
It's not mentioned in that article, but something else that was part of the bill at one point (and may be now for all I know) is that the government will set utilization rates for major medical equipment. Most imaging equipment is currently utilized 50-60% of the time. The government will mandate that be 70-80%, depending on which version of the bill.
As an example, if a hospital currently has the patient load to justify 4 Cath Labs, they may only be allowed to have 3 in the future per the govt regulations. That's great for saving money, but you'd better pray that all 3 aren't in use when you have a heart attack.
These fuckers in DC don't get that cheaper medical care comes at a price - and that price is quality of care.