It is worth noting, and reiterating, and reiterating again that, as Paul Krugman says, the RomneyCare exchanges are the conservative way to “universal” health insurance. If you want to preserve a robust private-sector health insurance market and if you want insurance to be affordable for all, then you need some forms of: (a) community rating, (b) subsidies, and (c) a coverage mandate. The other options are all some form of single-payer, or something that leaves a great many people unable to afford going to the doctor.
Maybe you want to disguise the single-payer nature of the program–John Kerry’s proposal by which the federal government would be the single payer for expenditures above… was it $50,000/year?… was such a disguise. But that plan met with no greater Republican enthusiasm than RomneyCare.
And if the marketplace-exchanges do turn out not to work, and if we retain the goal of affordable coverage for all, then single-payer will be our only remaining option.
Continue reading “End-of-Marketplace-Open-Enrollment ObamaCare Watch: Tuesday Focus: April 1, 2014” →