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Re:Record Numbers of Americans Want to Leave the U.S by rootusrootus on Tuesday January 08, 2019 @03:09PM (#18859165)
I believe that the government should focus strictly on macro outcomes. I.e big goals, like "more people covered by medical insurance" or "average life expectancy increase", etc. It's impossible at a high level to ensure that every last person gets a better outcome.

I'd also say that if anybody really did end up with more expensive policies with worse coverage, that's a continuing fault with our insurance companies. If they were functioning correctly, then an increase in policy premium after ACA would indicate that the consumer was not accurately assessing their own risk previously and thought their coverage was far more extensive than in reality. I haven't yet found an actual example of someone who really did get less coverage that cost more. Inevitably they are comparing an old plan that had basically no actual, effective coverage to one with far fewer loopholes.

Re:Record Numbers of Americans Want to Leave the U.S by kortilla on Tuesday January 08, 2019 @05:40PM (#18860486)
>I'd also say that if anybody really did end up with more expensive policies with worse coverage, that's a continuing fault with our insurance companies. If they were functioning correctly, then an increase in policy premium after ACA would indicate that the consumer was not accurately assessing their own risk previously

Nope, it means that the risk pools changed and now everyone has to pay significantly more because they are paying for people with existing conditions. The only people that didn’t end up paying more are the ones who receive subsidies they didn’t previously.

The old plans were better if you didn’t have a condition because you were pooled with cheaper people to care for. Loophole reduction only plays a small part in that.

ACA changed health insurance from being insurance into a country-wide health program for already sick people. Insurance is a terrible vehicle for that. It was a horrible compromise and single payer would have been worlds better once you’re already down the path of that level of government intervention.