We have had this difference of opinion before. Rand doesn't have a chance.
Fixing health insurance to me means putting it (mostly) back like it was (underwritten), + national risk pook + Medicaid to 125% of FPL.
The libs didn't want that and Obamacare is overkill.
Unfortunately they have so completely destroyed any semblance of what was pre-2014 (or 2010, depending on your perspective) that the genie can never go back in the bottle.
Medicaid is broken which is why 19 states still have not expanded the definition. The other 31 states (Utah is still on the fence) are not totally convinced it is working and it won't be long before they will have to figure out how to pay their portion.
Expanding Medicaid was no guarantee the moocher class will have access to health care and many are still using the ER as their PCP.
State risk pools kind of worked in some states. Having a national risk pool was a better idea but never got traction.
Obamacare will, sooner rather than later, collapse under the weight of the cost of running the program. More carriers will bail in the next couple of years leaving Blue and a few regional players in the game. Blue will become the essence of single payer and everyone else will find something else to do.
Group insurance for large employers and smaller white collar groups will remain pretty much in place while other employers will drop coverage if they can (and stay within the law) or come up with creative ways to deal with Ocare.
As bad as the public perceived the health insurance market to be before, most don't care for this new operation.
Ocare is so miserably dysfunctional that it can never really be fixed with patches and amendments. Until it is scrapped and built from the ground up it will hobble along until it lays down and dies.
Fixing health insurance to me means putting it (mostly) back like it was (underwritten), + national risk pook + Medicaid to 125% of FPL.
The libs didn't want that and Obamacare is overkill.
Unfortunately they have so completely destroyed any semblance of what was pre-2014 (or 2010, depending on your perspective) that the genie can never go back in the bottle.
Medicaid is broken which is why 19 states still have not expanded the definition. The other 31 states (Utah is still on the fence) are not totally convinced it is working and it won't be long before they will have to figure out how to pay their portion.
Expanding Medicaid was no guarantee the moocher class will have access to health care and many are still using the ER as their PCP.
State risk pools kind of worked in some states. Having a national risk pool was a better idea but never got traction.
Obamacare will, sooner rather than later, collapse under the weight of the cost of running the program. More carriers will bail in the next couple of years leaving Blue and a few regional players in the game. Blue will become the essence of single payer and everyone else will find something else to do.
Group insurance for large employers and smaller white collar groups will remain pretty much in place while other employers will drop coverage if they can (and stay within the law) or come up with creative ways to deal with Ocare.
As bad as the public perceived the health insurance market to be before, most don't care for this new operation.
Ocare is so miserably dysfunctional that it can never really be fixed with patches and amendments. Until it is scrapped and built from the ground up it will hobble along until it lays down and dies.
