by Janet Colliton, Daily Local News, 2/20/17
Last month I wrote regarding one of the proposed Obamacare replacements recommended by Speaker of the House, Paul Ryan. See “Obamacare Replacement – A Blast From the Past, “ Daily Local News, January 17, 2017.
Ryan recommended State High Risk Pools for people with preexisting medical conditions, a strategy that had been tried previously without real success. It is easy to understand why. If you place large numbers of people who are otherwise uninsurable into a separate plan, the premiums, if you receive coverage at all, would be prohibitive.
Now that other proposals have surfaced from members of Congress, it might make sense to revisit the topic and shed more light on a difficult subject – why is it so difficult to replace the Affordable Care Act (otherwise referred to as Obamacare) and what would a replacement, if any, look like?
First point is that the ACA was not a substitute for an otherwise finely tuned machine of health insurance coverage in the U.S. If it had been, it would have been an easy task just to go back. Instead, Obamacare, because it could not start over, had to be grafted onto an already extremely complicated health care system with lots of moving parts….
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