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Before Obamacare adverse selection was managed by the "preexisting condition" system. Much like how you can't sign up for fire insurance when your house is alr
by BurningFrog 5y ago
Before Obamacare adverse selection was managed by the "preexisting condition" system.
Much like how you can't sign up for fire insurance when your house is already burning, you couldn't get insurance only after you need care.
Obamacare did away with "preexisting condition", and the mandate was meant to replace it.
With nothing at all acting as a backstop, AFAIK, I assume this is now baked into the ever exploding "cost disease" of US health care.
- anamax 5y ago> Obamacare did away with "preexisting condition", and the mandate was meant to replace it. The Obamacare "fix" already existed in several states. You believe that such a policy has certain consequence - can you identify those states by looking for that consequence? Note that pretty much every state had "if you keep your care, you can change providers", so the problem was only for folks who dropped coverage and then wanted back in. If you have a relevant condition, dropping coverage seems like an odd thing to do.
- LorenPechtel 5y agoSome states had high risk pools. Limited coverage, limited access, high premiums.
- anamax 5y agoI was unclear. While some states did have high-risk pools, other states had "can't turn down" rules much like Obamacare. Can you identify the "can't turn down" states by looking for the predicted health outcomes of such a policy?
- LorenPechtel 5y agoIn one sense we were a can't-turn-down state. No limit on the premium, though, and note the response I received from an insurance application. The can't-turn-down option wasn't meaningful.
- actually_a_dog 5y agoThat's some serious twisting of words to claim that straight up denying people health insurance is "managing" anything.
- BurningFrog 5y agoNo, it's just using words. You can describe things without stating an opinion about the things!
- actually_a_dog 5y agoNo, sorry. Implying that adverse selection is "managed" by excluding people from having health insurance implies that the system actually works. Since large numbers of people are, by definition, excluded from having health insurance under such a system, it de facto does *not* work. This is not an opinion; it's a fact. A system that, by design, fails those who need it the most in order to syphon money off from those who need it the least is a failure.
- BurningFrog 5y agoYou seem really confused about the English language.