Beware of government-run health care

Thursday, 10 Aug, 2017

The U.S. Senate has debated proposals involving the ACA from a full repeal to removing certain provisions. But they shouldn't be too comfortable in their victory - it's temporary.

The reality is as President of the United States you do not get to decide whether or not you take responsibility for health care in the United States. "The Division is continuing to work with our state partners on attracting an insurance carrier to serve the 14 bare counties and to support the stability of the market for those insurance carriers who remain". It is time to move on.

After the vote, Republican Senate Majority Leader Mitch McConnell - stung by defeat on such a high-profile issue - made no secret his frustration with those Democrats and moderate Republicans who had scuttled his efforts. Such products include short-term plans as well as plans exempted by states from ACA rules because consumers have been continuously enrolled in them since before those rules took effect.

Senator Mitch McConnell ended up pushing a weird "skinny repeal" bill that got rid of the ACA taxes on the wealthy and medical device manufacturers and replaced the ACA itself with.

But any damage done by the president's comments or actions does not reflect poorly on the Affordable Care Act, and it does not warrant the acceptance of a bill that would decimate health coverage for millions. Mr. Obama was correct that it is, and as I've argued recently, conservatives should agree. Let me outline a few corollary goals.

Britain has true socialized medicine: The government provides health care directly through the National Health Service. Granted, everyone had access to health care, but 15 percent of us did not have health insurance. It should ensure that even the hard-to-cover are insured.

The cost of the plans and the amount of the subsidies vary by type of plan, region of the state, age and income, but the average monthly premium for a Silver Plan for a 40-year-old non-smoker with an annual income of $30,000 is $306, with an average subsidy of $99, according to the Kaiser Foundation, a nonprofit that tracks health care policy. As state exchanges collapse, state legislatures should remember the rights states have under the 10th Amendment, seize their chance to go over the heads of Congress and re-authorize affordable catastrophic coverage and state high-risk pools in their states.

On Saturday, Tennessee Republican Congressman Steve Cohen faced a packed auditorium in Memphis where constituents raised their concerns about tax reform, immigration and healthcare.

Republicans need to crawl out of the insurance executives' pockets and stop sabotaging Obamacare first.

Obamacare was designed by Jonathan Gruber who was a highly respected economist.

The experts also said the basic coverage requirements for employers should also stay.

Progressives have to travel further than this.

America's inability to establish a health care system that provides coverage for all is a bewildering sight for many of us north of the border. The social problem we face occurs when uninsured individuals get seriously sick or injured, and can't afford their treatment. The amount of money that is spent on health care in our country is nearly exclusively a collective decision.

In order to encourage the appropriate levels of innovation and productivity, progressives must accept that health insurance - and the market for medical services generally - is too heavily regulated. Because the system, by design, forces all sides to sit down and work on a bill. Alexander himself has previously stated that he has been working closely with Washington Democratic Senator Patty Washington on a bill that would allow the government to provide subsidies to insurance companies until 2018 in order to potentially avoid the uncertainty that is now causing insurance premiums to skyrocket in some states. In fact, they recommended the subsidies not only continue, but also be guaranteed.

They're not fully enforcing the individual mandate, which eliminates funding that helps pay for the law and decreases costs.

Given the current political atmosphere in Washington, I wouldn't bet on success anytime soon.

Michael Strain is a Bloomberg View columnist.

Duggan is the Wayne and Jodi Cooperman Professor of Economics as well as the Trione Director of the Stanford Institute for Economic Policy Research (SIEPR).