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someone posted this post on Daily Kos.
I think it sums up the pitfalls of the bill, in its current iteration.
If this current version gets passed, it looks like a political nightmare for dems:
"Most of the people who you think are going to get health insurance wont be able to afford the insurance that is offered to them. Even with the subsidy, the premiums are going to be too high. It will simply make more sense to wait until you get sick and go to the emergency room. Only now, on top of that, they're going to get hit with a fine on their tax returns if they avoid coverage. The reason is that there is no competitive pressure on insurance companies to keep prices low to make the subsidy meaningful.
Secondly, the bill is going to end the medicare advantage program, which offers top of the line coverage, and force them into a less generous Medicare program. Now, I'm sure that would be acceptable if their kids and grandkids got affordable coverage in the bargain. With this bill, they wont.
The antitrust provision has been dropped, so there will be no effective regulation of near monopolies in every state.
There is no Wyden amendment to promote general competition across the board.
Worse, the Republican "buy across state lines" provision has been put in, so that all the health insurers could set up shop in Oklahoma and offer the worst, least regulated insurance in a state like Massachusetts without having to comply with Massachusetts regulations. It will lead to a race to the bottom like credit card interest and South Dakota.
The provisions for the lifetime cap have been dropped.
Yes, you wont be banned because of pre-existing conditions, but the cost will be so prohibitive the average middle class person still wont able to afford it. Again, without competition from a public option, or antitrust provision, or the Wyden free choice plan, the insurance company can charge whatever it wants. There is no premium control.
Would this is going to lead to is a mandate to buy junk insurance that will still bankrupt you when you do get very sick. If you don't, youll get a fine. Whereas now you could keep your money in your pocket and get treated at the emergency room.
This bill is bad policy and even worse politics.
The only people who this bill will marginally benefit is high income healthy people like me with really great health insurance. My premiums will probably drop or remain steady. But I'm not the one who needed this bill in the first place. I'm happy with my plan."
from daily kos
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