kahlestyle
Expert
- 81
http://www.nytimes.com/2013/04/26/opinion/brooks-health-chaos-ahead.html?ref=davidbrooks&_r=0
He usually has a good finger on the pulse of DC
He usually has a good finger on the pulse of DC
See this David Brooks Article?
- Thread starter kahlestyle
- Start date
Interesting article. He does a great job of categorizing the issues into "cascades" of problems that he calls structural, technical, cost, adverse selection, and provider concentration. I agree with most of it.
However, he (and his panel of "providers, academics and former government officials", as he put it) won't have the same reaction as grass-roots America. Any one of these "cascades" could pull the trigger on grass-roots revolt. Take the cost cascade for instance. Or the technical and structural cascade - that took down PCIP enrollment when you include a "communications" cascade too. He forgot the Labor cascade when Americans realize their full-time job is now 2 part-time jobs and neither offers health insurance.
DC may think this isn't a long-term catastrophe, but Americans may have another view. I'm not sure which way it will go. The people on the East and West coasts seem to vote differently than the West and South. We'll see soon what happens.
I do agree with his assessment that insurance companies who have invested billions might want to just forge ahead. We agents have invested untold hours studying for this market, so I'm ready to just do it. Whether it explodes on the launchpad, or if it limps ahead, or morphs into something usable is moot to me now. I'm ready to "just do it".
However, he (and his panel of "providers, academics and former government officials", as he put it) won't have the same reaction as grass-roots America. Any one of these "cascades" could pull the trigger on grass-roots revolt. Take the cost cascade for instance. Or the technical and structural cascade - that took down PCIP enrollment when you include a "communications" cascade too. He forgot the Labor cascade when Americans realize their full-time job is now 2 part-time jobs and neither offers health insurance.
DC may think this isn't a long-term catastrophe, but Americans may have another view. I'm not sure which way it will go. The people on the East and West coasts seem to vote differently than the West and South. We'll see soon what happens.
I do agree with his assessment that insurance companies who have invested billions might want to just forge ahead. We agents have invested untold hours studying for this market, so I'm ready to just do it. Whether it explodes on the launchpad, or if it limps ahead, or morphs into something usable is moot to me now. I'm ready to "just do it".
Last edited:
- 4,096
One of the best articles I have read on the status of the reform.
If the subsidies works, the majority of America will not care.
If the subsidies do not work then we will have revolt and possibly an implosions of our current health care system.
If the exchanges flop, we will have 25%-30% of the population that can not afford health insurance premiums. Remember all of the the high risk pools are getting shut down Dec 31st.
If the subsidies works, the majority of America will not care.
If the subsidies do not work then we will have revolt and possibly an implosions of our current health care system.
If the exchanges flop, we will have 25%-30% of the population that can not afford health insurance premiums. Remember all of the the high risk pools are getting shut down Dec 31st.
Similar threads
