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Yo_Mama_Been_Loggin

(107,922 posts)
Thu Jul 27, 2017, 07:59 PM Jul 2017

GOP's repeal of insurance mandate could backfire

WASHINGTON — Getting rid of the Affordable Care Act's highly unpopular penalty for not having health insurance could backfire on Republicans, prompting significant premium increases if it were actually to pass.

One of the main reasons GOP lawmakers have given in their quest to overturn "Obamacare" is that they want to lower premiums for people who buy individual health insurance policies, particularly constituents who get no help from the law's tax credits. Some states are facing a second year of double-digit hikes.

"There is no doubt whatsoever that premiums in the individual insurance market would go up," said Larry Levitt of the nonpartisan Kaiser Family Foundation. "There is irony here in that the mantra from Republicans throughout this debate has been the need to lower premiums, but this step would do just the opposite."

Premiums would go up because insurers fear that without the penalty and the health law's underlying requirement to carry insurance, some healthy people would drop their coverage. That would leave insurers with a pool of sicker, costlier customers.

How big an increase?

An analysis last year from the nonpartisan Congressional Budget Offices estimated an increase of roughly 20 percent, and Senate Minority Leader Charles Schumer of New York says the budget office has told his staff that estimate still stands.

http://www.msn.com/en-us/news/politics/gops-repeal-of-insurance-mandate-could-backfire/ar-AAoVuiG?li=BBnb7Kz&ocid=edgsp

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GOP's repeal of insurance mandate could backfire (Original Post) Yo_Mama_Been_Loggin Jul 2017 OP
This is what is known as "Adverse Legislative Selection" which grantcart Jul 2017 #1
I don't know about other states but in CA we legally must have car insurance. BigmanPigman Jul 2017 #2
Because there's a fundamental difference of expectations Major Nikon Jul 2017 #3
None. It manages the risk in the most efficient way grantcart Jul 2017 #4

grantcart

(53,061 posts)
1. This is what is known as "Adverse Legislative Selection" which
Thu Jul 27, 2017, 08:12 PM
Jul 2017

mandates everyone must be included but no one has to.

Healthy people will opt out leaving only sick, then sicker, then the sickest.

It's termed a "Death Spiral".

BigmanPigman

(51,584 posts)
2. I don't know about other states but in CA we legally must have car insurance.
Thu Jul 27, 2017, 08:33 PM
Jul 2017

I f the same principle is applied to health care what is the problem?

Major Nikon

(36,827 posts)
3. Because there's a fundamental difference of expectations
Thu Jul 27, 2017, 08:47 PM
Jul 2017

Car insurance is clearly understood as protection against unforeseen circumstances. You don't file for the cost of oil changes against your car insurance.

Health insurance has the expectation of both protecting you against financial disaster due to unforeseen circumstances and financing routine and preventative health care. As such analogies to other types of insurance don't work all that well.

grantcart

(53,061 posts)
4. None. It manages the risk in the most efficient way
Thu Jul 27, 2017, 10:36 PM
Jul 2017

Medicaid and single payer systems operate on the same principle.

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