Exchanges With Private Insurers Is a Wasteful Way to Increase Benefits

By: Tuesday March 25, 2014 11:25 am

While this working paper from Mark Duggan, Amanda Starc, Boris Vabson is about Medicare Advantage I think its provides some insight into the core problem with the entire design of the Affordable Care Act’s coverage expansion. It looks at what was the result off the government overpaying for seniors in Medicare Advantage, which is an exchange [...]

Lobbying Power: Another Reason Insurance Exchanges Fail to Control Cost

By: Tuesday April 2, 2013 8:20 am

Private health insurance exchanges, like those created by the Affordable Care Act or in Medicare Advantage, have historically failed to control cost. Part of the reason is the basic economic issue of individuals lacking real market power and actually choosing the “best” insurance option, which is extremely complicated. Another problem is lobbying related. Whenever you needlessly [...]

Ezra Klein Then and Now on Health Care Exchanges

By: Friday December 16, 2011 11:55 am

During the debate over Obamacare Ezra Klein was a huge proponent of  health insurance exchanges using only private insurance companies. He called the exchanges the number one cost control idea in the new law. From Klein March 22, 2010 in his list of “five most promising cost controls in the health-care bill”: (1) Create a [...]

Ezra Klein: Insurance Exchanges Don’t Work and Must be Expanded Dramatically

By: Tuesday June 7, 2011 9:55 am

I’ve often find Ezra Klein’s writing about health care policy confusing because from blog post to blog post there is often a jarring disconnect that can best be described at policy schizophrenia. The issue is most pronounced in his alternating from defender of health insurance exchanges, mostly when defending Obama, and his acknowledging they have been a proven failure, mostly when criticizing Republicans.

Matt Miller Spreads Ryancare Nonsense

By: Thursday May 26, 2011 9:04 am

Almost any national health care debate in this country is almost entirely disconnected from real-world examples, which is tragic given that facts have a well-known liberal bias. That is why it is incredibly depressing to see a senior fellow from the Center for American Progress is using his platform to spread incoherent ignorance. I don’t [...]

Health Insurance Exchanges: Really Bad Idea Then, Really Bad Idea Now

By: Monday April 25, 2011 9:34 am

It is always nice to see more people come around to my stated belief that health insurance exchanges intended to make people be “smart shoppers” for very complex products is a truly failed idea. Paul Krugman made a very straightforward case against the concept this weekend: That’s the title of a blog post by Nathalie [...]

Yes, Making Patients Consumers Is a Bad Idea – One Obama and Krugman Previously Cheered

By: Friday April 22, 2011 12:26 pm

I’m glad to see that Paul Krugman has attacked the absurd idea that health care patients should be treated as consumers, and Jonathan Cohn has chosen to echo Krugman’s argument.  What I can’t understand is where was powerful denouncing of the absurd idea that we need more “consumer-driven” health care during the debate over the [...]

Similarities Between Ryan’s Medicare Plan and Affordable Care Act Make Dem Pushback Tricky

By: Tuesday April 5, 2011 9:26 am

Rep. Paul Ryan has released his 2012 budget proposal (PDF), and in it, he has endorsed the truly terrible idea of eliminating Medicare and replacing it with a voucher to buy more costly private insurance on an exchange. Future Medicare recipients will be able to choose from a list of guaranteed coverage options, and they [...]

Senate Should Get It Together and Vote on 9/11 Health Care Bill

By: Tuesday December 21, 2010 8:57 am

Jon Stewart got the ball rolling, and now even Shepard Smith is so disgusted by GOP obstructionism on the 9/11 health care bill that he read a list of the names of Republican senators who would not appear on Fox News to speak on the issue.  DeMint, McConnell, Graham, Hatch, McCain… nobody wants to appear [...]

What Progressive Victory Looks Like: Ending Corporate Welfare To Help Regular Americans

By: Friday March 26, 2010 5:04 pm

Yesterday was actually big victory for progressivism. Not in health care, but in student loan reform. Finally, a wasteful and worthless corporate welfare program was eliminated. The taxpayer dollars that were being thrown away on private profits will now be redirected to help low income students attend college and pay down the debt. This is [...]