Or...
What if...
...... ...... ...... The government created a quasi-independent not for profit Health Insurance Organization?
...... ...... ...... ...... ...... ...... Call it something like "US Heath Insurance Service" (USHIS)
PREMISE:
- USHIS would be established as an indepented organization similar to the Post Office.
- USHIS would be not for profit.
- USHIS would be self-funded.
- USHIS could offer policies through the ACA (subsidized).
- USHIS could offer individual policies outside of ACA for individuals not qualifying for ACA.
- USHIS could offer group plans to employers and other groups (religious, union, trade, credit unions, etc.).
- USHIS could offer health, dental, vision, and long term care plans.
- USHIS could bid on contracts just, like other health insurance companies, for processing MediAid, MediCare, VA, and TRICARE claims processing.
- USHIS would have a board of governors appointed for staggered 6 year terms with: 3 Appointed by the Senate Majority Leader, 3 Appointed by the Senate Minority Leader, 3 Appointed by the Speaker of the House, 3 Appointed by the House Minority Leader, and 1 Appoinged by the President. (Total 15). The "Chairman" for the board would be selected from the pool of 15 members by the members themselves - not appointed by executive or legislative branch.
- Services would be scaled to regions (I don't know how many) and not a one-size fits all as different regions in the country have different cost of living and therefore different costs of providing care.
As a non-profit entity, it would not be beholden to shareholders.
It would would be open to offering group plans to employers (private small businesses, corporations, local/state/federal contracts, non-profit organizations, etc.) and would have to complete on a cost/efficiency basis with private for profit insurance companies.
Could such an organization:
- Be competative?
- Lower health care costs by removing for profit and being more efficient?
And remember, we are NOT creating a government bureaucracy, the intent is a non-profit, more effient system as an alternative to compete at scale.
Let the free market work by providing alternatives to the for-profit model.
WW