Healthcare in the Forefront, Pt.4 – How does mandated
health insurance stack up?
Previous…
So here’s the point so aptly shared by Ms. Bender, without a
mandate for all citizens to carry health insurance (there will
be extreme exceptions, of course) the “young and the healthy
will opt out, leaving the older and sicker in the system.” As
it has always done in the private health insurance business,
this will add significant costs to the remaining health
insurance premiums. I believe that Alan Sager of Boston
University's School of Public Health, where he is a professor
of health policy and management is right on the mark. Mr. Sager
states “If we’re ever going to fix this problem, our citizens
will have to “demand change and [solutions] that work
financially, medically, ethically and politically." For more on
Mr. Sager’s sound wisdom, I recommend reviewing one of my
recent articles called “Health
Insurance Still Plummeting”
In all fairness, I must point out that Mr. Obama is not
completely devoid in this area. He does strongly promote
employer-based health insurance, which does heavily integrate
risk sharing. That’s a great step and a very necessary
inclusion. A further favorable direction is that he draws
heavily from the successful principles resulting from the
Massachusetts ‘test laboratory’. They do mandate universal
health insurance and have been a major hotbed of debate since
conception. There was far more criticism then support
nationwide until just recently when their first ‘report card’
came in. Astonishingly to many, nearly all of the criticisms
fell away under pressure of proof. Like a ‘shooting-star’
production where far more people are drawn then expected, the
main complaints were ‘overcrowding’ the auditorium. The first
year of the Massachusetts health insurance reform was so well
received that the system was pressed to support the rapid
influx. In English, that means they found themselves ‘under
funded’. With some creative innovation, however, they were able
to survive the first onrush. The next boulder deals with
assistance needed from the Bush Administration. Good luck. For
a better understanding of the Massachusetts results, I
recommend reading my recent series of articles called ”Mass
Success".
Continued…
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