There Will Be No Insurance Death Spiral

By: Wednesday November 13, 2013 2:09 am

The law doesn’t “unravel” if young people refuse to sign up, it just ends up somewhat more costly and less effective than the administration hoped. Of course the second they decided to go with this absurd design they guaranty it was always going to be needlessly wasteful and inefficient.

Obama Administration Claims Exchange Will Be Ready Just in Time

By: Friday October 25, 2013 10:48 am

The Obama Administration claims the system should be mostly working by the end of November, giving themselves a month to fix things. This time frame they outlined is interesting because that is basically how long they have to fix things before the real trouble starts. As it currently stands the exchange being broken is [...]

All This for a Needless Middleman to Help People Select Another Needless Middleman

By: Friday October 25, 2013 7:15 am

One of the most infuriating things about this current debate over the Obamacare website is that all these millions of dollars, dozens of contractors, and thousand of people hired as navigators is for a completely unnecessary middleman just to help people select another unnecessary middleman. There is no need or legitimate excuse for going with [...]

HHS Granted $3.7 Billion to Help States Set Up Their Own Exchanges

By: Tuesday July 2, 2013 8:35 am

Creating roughly a hundred new health insurance exchanges, one for individuals and one for small businesses in each state, is not cheap. So far the Department of Health and Human Services has rewarded about $3.7 billion in exchange grants to the states according to a new Government Accountability Office report. Most of the money is [...]

An Exchange Without Competition, If Only There Was a Public Option: Part 1,547

By: Thursday May 30, 2013 8:47 am

An online marketplace without any competition would seem like a pretty silly idea but that will apparently be the reality in New Hampshire. The only choice for people using the new exchange in New Hampshire will be Anthem Blue Cross/Blue Shield of New Hampshire. It was the only company that applied. The fact that there will [...]

Arizona Won’t Build Its Own Health Care Exchange

By: Thursday November 29, 2012 7:09 am

In a move that should surprise no one, Arizona Governor Jan Brewer (R) officially wrote the U.S. Department of Health and Human Services to inform them Arizona will not set up its own health care exchange. This means the federal government will instead need to set up an exchange in the state. According to Brewer [...]

Vermont Continues Working Towards A Universal Health Care System

By: Wednesday April 25, 2012 9:04 am

The government of Vermont continues to chug along with their multi-year plan to establish a universal health care system modeled on single payer. The most recent step is that the two chambers of the legislature have approved a new bill creating the health care exchange required by the Affordable Care Act.  From the Bennington Banner: [...]

NY Gov. Cuomo Creates Insurance Exchange With Executive Order

By: Friday April 13, 2012 8:14 am

To bring New York into compliance with the Affordable Care Act, Governor Andrew Cuomo had to create the new exchange in his state through executive order. From the New York Times: Gov. Andrew M. Cuomo, stepping into the national debate over President Obama’s health care law, used his executive power on Thursday to carry out one of [...]

Individual Mandate an Albetross Around Mitt Romney’s Neck

By: Tuesday May 31, 2011 9:59 am

The Boston Globe the have an interesting piece about how Massachusetts’ health care reform law came into being and the role Mitt Romney played in assure it’s passage. It is well worth a read. The article shows what a prominent role Romney played personally in making sure a individual mandate was part of the final legislation and why it would be impossible for him now to fully renounce the one in the Massachusetts’ law he signed. From the Boston Globe:

Romney’s grasp of the subject was “unbelievably impressive,’’ he said, and the governor warmed to the game-changing potential of the individual mandate. Romney’s political advisers, however, “were not that keen on it,’’ [Jonathan] Gruber said.

To them, the political hazards spoke louder than the policy-making opportunity.

The key players in the Massachusetts debate know what a critical champion Romney was of the individual mandate; so a total flip flop on the issue would be too deeply cynical as to be politically unfeasible

The article again made it clear how many of the most important components of the Massachusetts law, which also eventually made it into the Affordable Care Act, were only a few years ago seen as deep conservative policies advanced by right wing think tanks.

Illinois Also Concludes Private Health Exchanges Provide Worse, More Expensive Insurance

By: Thursday March 3, 2011 12:29 pm

The Illinois’s health care reform implementation panel has released its initial recommendations. They concluded that the private insurer exchanges created by the new health care law are likely to be a relatively bad deal for low-income residents, and that the state would be able to provide them better and cheaper coverage through a new public [...]