WASHINGTON -- As many as 129 million Americans under age 65 have medical problems that are red flags for health insurers, according to an analysis that marks the government's first attempt to quantify the number of people at risk of being rejected by insurance companies or paying more for coverage.
'Pre-existing conditions' exist in up to half of Americans under 65 | cleveland.com
As long as we are clear. Repeal Obamacare and put nothing in place to address the problems, and what you have chosen to do is use a for-profit system that will prevent many of your neighbors from receiving care.
That's no longer acceptable to me. If it is acceptable to you, I pity you.
So what? All the states have insurance pools for pre-existing conditions. Their rate is at least 33% higher but that is what these people get when they wait until they have a problem before buying insurance.
That's what I have been arguing for all this time. Let the states handle it.
Imagine that you buy an expensive new SUV and sports car and that straps your cash reserves enough that you decide not to bother with insurance. And then, when you crunch your new vehicle, the insurance company is required to sell you the insurance AND fix the damage that you sustained.
That's exactly what the Obama administration wants to require health insurance companies to do. And the insurance companies don't care so long as they can jack up the rates as high as they want to go and they can do that when the government requires everybody to buy it anyway.
I say let the people in each state put together assigned risk pools for the difficult to insure just like they do for auto insurance, liability insurance, work comp etc. Yes the premiums will be significantly higher but there will be insurance for everybody who wants it.
The Federal government could also offer a catastrophic supplemental policy similar to federal flood insurance or earthquake insurance and encourage people to buy it. That would take care of the big ticket cancer treatment, heart transplants, etc.
Then require the insurance companies to offer large deductibles along with full coverage. You could elect for a $200 deductible all the way up to say $10,000. You pay out of pocket for doctor's visits, prescriptions, etc. until the deductible is reached--a cost most of us can afford--and then the insurance coverage kicks in up to a threshhold where the catastrophic policy would take over. Don't tell me people can't afford that when they can afford oil changes or new tires for their car out of pocket, they replace a washing machine when it breaks, and have the furnace fixed when its on the fritz, etc. They can also afford reasonable medical costs out of pocket.
Restore the medical savings accounts that the Obama administration deep sixed. You can set aside in a private savings account an amount up to say $2000 tax free. You pay for vaccinations, doctors visits, xrays, etc. out of that fund until your insurance deductible kicks in. Anything in your medical savings account that you don't use say within two years can be rolled over into an IRA or other savings vehicle for your retirement later.
Make everybody with income pay some federal income taxes and the above option becomes much more attractive. File that under 'promote the general welfare.'
And outlaw insurance monopolies within states just as monopolies for any other kind of businesses are illegal. That would allow all insurance companies to compete across state lines at will and would also make insurance far more portable than it is now.
Encourage--don't require but encourage--individual ownership of policies. That way if you lose your job or change jobs, you don't lose your insurance because it is your policy. Businesses could still pay for your policy if they wanted to but they wouldn't own it.
Let each state deal with its own poor and indigent.
Then let the federal government get out of the way and let the free market work.
I am confident that we would quickly be paying a whole lot less for medical insurance.
As you see other than a little tweaking of regulation and some additional protections put into place, the federal government does not have to do anything or spend a single taxpayer dollar in order for everybody to have access to healthcare. Get the federal government pretty much out of it and I guarantee that healthcare costs will come down.