Health Insurance Fear vs. Other Fears, Pt.9 –- Another
Introspect
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Wyden, along with Sen. Robert Bennett of Utah, has
attracted 12 more colleagues, six Democrats and six
Republicans, as co-sponsors. The significance here is that, in
order for any viable health insurance/care plan bill to
survive Congress, Republican and Democratic Senate votes will
be required. Right now, Wyden’s bill seems to be the most
viable health insurance/care plan. There are some striking
differences between Wyden's plan and Hacker's. One is that
Wyden’s plan totally lacks a public insurer; there won't be
any competition public and private health insurance sectors.
Instead, Wyden’s plan compensates for this absence with a much
more radical system integration. To contrast, Hacker's plan
creates this new public group market for about 44% of the
population to compete against an existing private health
insurance/care market with about 41%. The remaining percentage
is mostly covered by Medicare and the like. Whether Hacker’s
plan succeeds or fails is largely dependant on one of these
health insurance/care markets effectively undercutting the
other.
Wyden's radically different plan almost completely does away
with employer health coverage. While promoting a single group
market, it mandates more of a shift rather than anything new.
Instead of a transition, this strategy mandates the employer to
redirect all government incentives for employee health
insurance to into paychecks for the purpose of converting to
private driven individual health insurance. Risk pool coverage
may become a thing of the past. Wyden does propose a new
“state-level” entity called "Health Help Agencies," in
individual states. These could mimic Hacker's group market.
They would be regulated structures where various insurers
compete for business. This may defray the “cherry-picking”
strategies of the current individual open market. The intent is
to lessen the high premiums and the denials of coverage for
pre-existing conditions. With this, everyone would pay the same
price but would be required to maintain insurance that was at
least as comprehensive as the current Blue Cross-Blue Shield
Standard Plan. There would be penalties for those who don't buy
in but, also, some subsidized relief for those with low
incomes. Medicare would change very little and exist mostly for
the elderly.
Continued…
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