Saturday, May 20, 2017

You Auto Know

One of the ideas for replacing Obamacare might not be so great:
As for auto-enrolling Americans without health insurance, you are mainly talking about a group of low-income people who choose not to buy insurance even if they are healthy. It’s a practical question how do you make that work and stay with it, and especially for people who are loosely connected to the workforce, and don’t have a lot of income and usually go to a clinic to get care. This is the problem with expanding Medicaid; it does not do a lot to change their behavior, it does a lot more to get the hospital paid.

So there’s a number of issues you have to think through on that, that I believe they have to do.

Once you enroll people, how do you keep them in the system? They do not want to pay nominal premiums, and that’s what happened with Obamacare. With Obamacare, we got them insured in very subsidized coverage, and the insurers were surprised that once they were healthy, they would not even pay ten bucks to keep the coverage.

It is a technical issue, how do you work through that and make it better?
By coming up with something that isn't Obamacare by another name?

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