Mr. McCain’s Definition of ‘Best Coverage’, Pt.7 –
Shift to individual plans, but help for the
destitute.
Previous…
Not by coincident, the tax shift will also have the effect
of shifting people away from employer-based health insurance
over to individual private plans. The scope of this effect is
only left open to much speculation at this time. It is
anticipated to provide a windfall to the private health
insurance industry. They will be able to ‘cherry-pick’ the
least risky, one by one, then isolate the undesirable risks of the
older and the less-healthy. The latter can either be denied
health insurance or shuffled into high-risk pools for
significantly higher premiums. The predominant risk-sharing
pools of today’s employer-based health insurance plans that
average out premium costs may go away or, at least, be greatly
diminished.
It’s good to see that Mr. McCain is attending to the poor
and chronically ‘un-insurable’. Surveys of the 45.7 million
victims with no health insurance indicate that, two-thirds of
them have incomes below the 200% federal poverty line and
one-third are reported to be chronic cases. These segment sets,
no doubt, intersect somewhat. Some of the chronic, undoubtedly
fall under the 200% poverty-level and must not be counted
twice, while there are undoubtedly others with no health
insurance who are healthy and not financially strapped.
But there are definitely millions among them who are unable
to obtain health insurance for one reason or another. The
troubling quandary tends to be the extent of Mr. McCain’s
commitment and the means he has derived to bring this about.
His ‘very preliminary’ estimate was to provide $10 billion for
this purpose. Nearly all the experts agree that the means to
cover all these people is more close to $120 billion. We’re all
anxious to receive greater detail on the mechanics of Mr.
McCain’s plan.
Continued…
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