3 ms·
I'd actually be interested to see the numbers. Obviously, as you say, it's not just size but also the risk profile of the group...but add to that the fact that
by jballanc 9y ago
I'd actually be interested to see the numbers. Obviously, as you say, it's not just size but also the risk profile of the group...but add to that the fact that this pool is being split between as many companies as are selling on the marketplace, I wouldn't be surprised if size is part of it.
Regardless, if universal health coverage is a goal, the only way to truly amortize risk is to have everyone in one pool. Anything less pits some very perverse incentives against an inherently inefficient market. It's no wonder no one wants to participate!
- harryh 9y agoEven small states like Iowa (total population ~3 million) are going to have 10s of thousands of people on the individual exchanges. That's bigger than all but very large corporations (who tend to self insure anyways). I hear you about universal health coverage. I've come around to the idea that we should have it at the national level above some sort of cap. I think free markets can still work when it comes to your annual checkup or small expenses like a broken arm or a monthly prescription for non esoteric drugs.