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re: TRUMP to back RAND Healthcare Bill

Posted on 9/27/17 at 6:54 pm to
Posted by roadGator
Member since Feb 2009
140237 posts
Posted on 9/27/17 at 6:54 pm to
What are the five states?
Posted by Vacherie Saint
Member since Aug 2015
39418 posts
Posted on 9/27/17 at 6:54 pm to
It doesn't do them any good to peddle Obamacare and all of its forced coverages across state lines. They are pulling out of states that they currently operate in.

That's not even close to what republicans are proposing. Try harder.
Posted by bonhoeffer45
Member since Jul 2016
4367 posts
Posted on 9/27/17 at 7:04 pm to
quote:

What are the five states?




Maine, Georgia, Kentucky, Rhode island, Wyoming.

And apparently you can add Oklahoma as a sixth. Just re-checked my resource and apparently they passed a bill in May allowing it as well.

The only counter-point I have come across about why it would be different if mandated federally, is that it would slightly reduce some barriers like needing to apply for licenses in both states, or allow insurers to avoid dispute resolutions in the operating states, but building up a local network is still the overwhelming barrier to entry for insurers. At best I could see a market emerge where small compacts selectively invite outsiders based on good health, which would leave people unable to find a way into those pacts stuck in an even sicker and expensive individual private insurance market.
This post was edited on 9/27/17 at 7:09 pm
Posted by buckeye_vol
Member since Jul 2014
35236 posts
Posted on 9/27/17 at 7:08 pm to
quote:

TRUMP to back RAND Healthcare Bill
If he does this, I'll take a rental jacket for the time being, and continue to rent it though the tax policy debate and vote.
Posted by buckeye_vol
Member since Jul 2014
35236 posts
Posted on 9/27/17 at 7:10 pm to
quote:

Maine, Georgia, Kentucky, Rhode island, Wyoming.
The issue here is that with such a small sample, with states that are largely suggest geographically, demographically, and economically, it's hard to really draw any inferences from this.
Posted by Iowa Golfer
Heaven
Member since Dec 2013
10230 posts
Posted on 9/27/17 at 7:10 pm to
I was wondering how you would react to this. There seems to be a lot of smoke here, even though this "news" is not really new news. Old news. Hopefully not fake news.

I have no issue with Trump hopping around. So long as he eventually lands in an acceptable spot. Actually, I'm fairly certain I predicted this back when many thought he couldn't win.

Instinct. I think Mr. Trump talked about that,

This post was edited on 9/27/17 at 7:13 pm
Posted by Aristo
Colorado
Member since Jan 2007
13292 posts
Posted on 9/27/17 at 7:12 pm to
Not since ACA and that's why our insurance went from 400 a mounth to 1600 a month with higher deductibles and less coverage.
Posted by burke985
UGANDA
Member since Aug 2011
24602 posts
Posted on 9/27/17 at 7:18 pm to
Need soomething done im down
Posted by bonhoeffer45
Member since Jul 2016
4367 posts
Posted on 9/27/17 at 7:19 pm to
quote:

The issue here is that with such a small sample, with states that are largely suggest geographically, demographically, and economically, it's hard to really draw any inferences from this.




I mean sensible economists on the left and the right predicted this to be the result. It is just really difficult and expensive to build a network from the ground up in the individual market somewhere.

If we mandated nationwide indemnity insurance, things would be different. But markets have organized around PPO's and the like, and building networks in local areas is expensive and can put you at an increased risk level in your stable marketplaces and open you up for losses.

But if this doesn't get sued to the heavens by states, you might have your larger sample size to look at. Looking at it from the problems I see in the system, I don't even see a best case scenario where this fixes things.
This post was edited on 9/27/17 at 7:20 pm
Posted by SoulGlo
Shinin' Through
Member since Dec 2011
17248 posts
Posted on 9/27/17 at 7:19 pm to
My pants are sticky now. frick


Ill take it tho.
Posted by fatboydave
Fat boy land
Member since Aug 2004
17979 posts
Posted on 9/27/17 at 7:23 pm to
quote:

Insurance Commissioner

What has that MF ever done for us? My health insurance, car insurance and homeowners keep going up with less coverage.
Posted by Iowa Golfer
Heaven
Member since Dec 2013
10230 posts
Posted on 9/27/17 at 7:25 pm to
Absolutely. The insurance commissioners should have complete control over private market places!

It's the only conservative American thing to do!
Posted by bonhoeffer45
Member since Jul 2016
4367 posts
Posted on 9/27/17 at 7:42 pm to
quote:

Absolutely. The insurance commissioners should have complete control over private market places!

It's the only conservative American thing to do!




The reason we have regulators for insurers is because the early years of insurance were really ugly.

Insurers would set up shop, take consumers money, often engage in speculative investments, keep inadequate reserves, maintain shady payout practices to minimize losses. I think in the first 5 years there was something like 75 life insurance companies that went belly up. While many of the operators ran off with their pockets full and lower level employees and customers in pretty ugly shape. Confidence plummeted. This was actually a market space where regulation was necessary to save the market from itself. It was a classic market failure scenario.

Now, some of it was because it was simply the infancy of the market. Sound statistics and market profiles were not well established, so creating risk forecasts much harder to do. But a lot of it was just allowing a space for excess and profiteering to go without consequence, paid for at the consumer and societies expense. Without intervention consumer confidence probably would of led to the market never really establishing itself adequately.
This post was edited on 9/27/17 at 7:44 pm
Posted by Iowa Golfer
Heaven
Member since Dec 2013
10230 posts
Posted on 9/27/17 at 7:44 pm to
Did you read the post I responded to?
Posted by asurob1
On the edge of the galaxy
Member since May 2009
26971 posts
Posted on 9/27/17 at 7:45 pm to
4 times is a charm right guys.
Posted by 9th life
birmingham
Member since Sep 2009
7310 posts
Posted on 9/27/17 at 7:47 pm to
It is such a great plan. This time they mean it.

Posted by bonhoeffer45
Member since Jul 2016
4367 posts
Posted on 9/27/17 at 7:48 pm to
quote:

Did you read the post I responded to?




I did, but I got the impression of sarcasm.

Either way, I was really just wanting to explain at large, that one of the underlying issues in Rand's plan is the desire to take states ability to regulate their markets away from them. Which is a double edged sword.

For one it kinda goes against his states rights motto, but secondly, it suggests an end game being sought where insurers shop around for the home base they can operate in with the lowest regulations and scrutiny. That seems obviously problematic.
This post was edited on 9/27/17 at 7:48 pm
Posted by Errerrerrwere
Member since Aug 2015
38260 posts
Posted on 9/27/17 at 7:48 pm to
Lmao
Posted by Iowa Golfer
Heaven
Member since Dec 2013
10230 posts
Posted on 9/27/17 at 7:50 pm to
They already do this. If we were talking about property casualty I'd be concerned. But health insurance in its present form is barley insurance. It's becoming prepaid medical.
Posted by Taxing Authority
Houston
Member since Feb 2010
57189 posts
Posted on 9/27/17 at 7:52 pm to
quote:

It's becoming prepaid medical.
Yup.
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