I don’t see how this will help smaller groups who have pre-existing conditions. This will balloon into a group offering which will compete with the insurance companies. Otherwise, without the mandates, certain groups will be shunned. Maybe they can just let such groups shop individually with some kind of employer subsidy or something like that.
I'm afraid this would balloon into driving insurance companies out of business and then, ta da, the feds would take over everything.
“I don’t see how this will help smaller groups who have pre-existing conditions. This will balloon into a group offering which will compete with the insurance companies. Otherwise, without the mandates, certain groups will be shunned. Maybe they can just let such groups shop individually with some kind of employer subsidy or something like that.”
There are lots of things you and I don’t or cannot see, because nobody can predict the future. However, without getting into the standard full discussion of the full discussion; the bullet points are:
It ain’t insurance if it covers super-high-cost pre-existing. That is just the definition of the word. I am with Betsy McCaughey on this. People who have mid to high six figures of HC needs should just get it for free. In the end, it will be cheaper than running it through a government agency or an insurance company. The estimates I have heard of the number of people who need this are under 1 million, which I sort of find hard to believe, but that’s what I have heard from multiple sources that know more than I do and whose views I respect on other related topics. What needs to be done is to remove the influence of the 1% from the cost profile of the 99%. In this case, it is the 1/3rd of 1%.
I *WANT* whatever happens to compete with the insurance companies. I believe that insurance company overheads drive up the cost of HC by at least 300%.
But the topmost consideration, for me, is that the mandates MUST disappear. We are probably stuck with some sort of centralized HC, that ship has apparently sailed. I dislike all the variations that have been proffered to date. But foremost among my objections to any plan is the presence of mandates. That is the biggest impingement on freedom I find with anything I have heard so far. The mandates ratify the governments granting of the franchise on 1/6th of the economy to the insurance companies. Their response has been to triple or quadruple HC costs.