- - Monday, November 7, 2016


One of the most contentious issues of this election has been how to “fix” the Affordable Care Act. Here are a few suggestions. One of the main problems with Obamacare is the poor risk pool that includes too many sick people and not enough healthy people. The pool of healthy people must be increased. Laws and fines have not been successful. The risk pool can be improved by looking at the basic reason for insurance: to provide a hedge against an untoward event. The prohibition against denying coverage for pre-existing conditions is exactly counter to the definition of insurance and discourages healthy people from purchasing insurance. Why would you purchase “insurance” as a hedge for a future unknown event if you could purchase coverage after that event occurs? Further increase the risk pool by removing the inclusion of those under 26 on their parents’ insurance. This will force all those presumably healthy young people into the risk pool.

Next, provide block grants to the states to be spent as they see best for their citizens. Allow insurance companies to sell their insurance across state lines to provide an option for those who do not participate in Obamacare or who wish to supplement their Obamacare coverage with private insurance. Allow the insurance companies to participate in setting up the exchanges; they know how to do it.

Then treat Obamacare payments like FICA. Since this program will be passed by Congress, it can be a tax.

Some will argue that these suggestions will result in people losing their health-care coverage. However, as Obamacare is now, many people have lost coverage due to high costs of that program and cancellation of many plans. There is no perfect solution and any “fix” will involve losses to some. However, if something isn’t done, the entire program will continue its death spiral and will collapse. That would be even more devastating to far more people.



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