son you really have drank the cult koolaid.
The heritage foundation, the American enterprise institute, the Cato institute, the congressional budget office just to name a few. The were even individuals saying the exact same thing.
Just a little reading for you. Not a lot of big words so you can understand it.
How Obamacare Set In Motion Today’s Premium Crisis
Look I get it you really want to believe what they print democrats tell you, just as others want to believe what they print republicans tell them. The problem is if you are not properly informed you will believe any lie either one tells you.
Sorry hoss, you are the one sucking up the Kool-Aid. AEI, the Cato Institute? That is ******* rich I tell you. And your article, from Pacific Research Institute, it smacks of propaganda. But it is cute, you actually think all those sources are unbiased. I mean I can pick apart Ms. Pipes article if you like.
Pipes is one of those "free market" prostitutes.n For instance, from the article,
Individual-market premiums over the last decade-plus have been surging. Between 2013 and 2014, when Obamacare’s many regulations took effect, they rose 47%. Average premiums for benchmark plans rose 75% between 2014 and 2024.
First, regarding that initial increase, again, from the article.
As Johns Hopkins University professor Ge Bai wrote in a recent Wall Street Journal op-ed, “The inflationary provisions of the Affordable Care Act—such as the medical loss ratio, mandated ‘essential’ benefits, community rating and premium subsidies—have inhibited insurers from offering affordable and flexible options.”
There you go, those mandated essential benefits, sure, they came at a cost. Back to the article,
Moreover, policymakers need to find ways to increase the number of low-cost offerings, such as short-term and association health plans, on the insurance market—instead of outlawing or limiting them, as Obamacare and the Biden administration did.
I spent two decades working the health insurance market in multiple channels. I know Ms. Pipes is full of shit because never, not once, did I ever run in to anyone that said, "Damn sure glad I had that short term health insurance", or "that Association Plan" really saved my ass. The reason, they either just flat don't pay, or they pay and then cancel on you. Those plans were only good for the insurance companies, not the insured. Comically, the Republicans released a Senate report with real life examples that reflected the "cost" of the ACA. The very first example, someone having an association plan, because it was all they could afford, because the ACA caused their premiums to go up due to the essential benefits. Then, they developed a serious illness, the hospital would not accept their "association plan", essentially, they had nothing. Somehow, that was Obama's fault. Like I said, comical.
So that goes to the essential benefits thing. One not mentioned, guaranteed issue, regardless of health. Well you know, that employer provided health insurance market, it is guaranteed issue. When a quote is provided to the employer the insurer has no knowledge of the health of any of the proposed beneficiaries. And even if they did know, they can't use that to determine the premium. Which brings us to community rating. Yep, employer group, community rated. Yep, everyone pays the same. Single 20 year old male, sixty year old male, they both pay the same.
Another thing, not mentioned. Republicans want to bring back health insurance plans with caps. One million, two million. I mean lifetime caps. No kidding. And yes, that it was the way it used to be. Your wife has cancer, been fighting it like a trooper, making progress, but the treatments have been expensive, and twice weekly. Then comes the letter. Insurance is no longer going to pay, you have reached your lifetime limit.
Now, let's go back to that group market for employers. Many, if not most, of the large companies, are "self-insured". Sure, you got an insurance card with some insurance company Logo on it. When the receptionist asks, you tell them you have Aetna, or BCBS, or whomever. But, those companies are mere servicing agents. It works like this. Insurance company gets all the premiums, and they pay out all the claims, that they, of course, review. UP TO A POINT.
Any claims, over a predetermined amount, are paid by the company. Insurance company is limit up, now, the employer gets the bills. That is why the employer claims they are "self-insured". So riddle me this, you get one of those capped health insurance policies, are not you "self-insured"? I mean can you not see, it is a damn racket. Insurance company knows, going in, the least they can make. Once it approaches an unacceptable margin, they out. WTF?