The Affordable Care Act, despite its gains, is clearly insufficient to address our most urgent health care needs, and adding yet another layer to our already fragmented system is not the answer. To learn more about a system that would improve efficiency, equity, and affordability — a single-payer national health program — please click here.
Skip to primary navigation Skip to main content Skip to primary sidebar Skip to footer. It's also very likely that it would continue to gain steam if Obama racks up a victory at the summit and Dems press forward with plans to pass reform themselves via reconciliation. But Gibbs's statement seems likely, willfully or not, to slow that momentum in advance. As the health care debacle demonstrates, even with that obstacle removed, the White House still refuse to push for progressive provisions.
This article is from the archive of our partner The Wire. It will do so, Hoffman argues , by using a regulatory system that primarily values market competition and consumer choice. According to Hoffman, access and affordability can only be achieved if policymakers finally move past the competitive market framework.
During the debates surrounding the adoption of the Patient Protection and Affordable Care Act ACA in , policymakers promoted a public option that would indirectly regulate private insurance plans by competing with them.
In response, private insurers and their political allies successful opposed the public option, and the Obama Administration eventually dropped it from the ACA. The same will be true today if President-Elect Biden is only able to secure passage of a watered-down public option.
Hoffman also points to a growing body of empirical research showing how difficult it is for Americans to choose the best health insurance plan for their needs and preferences.
Plans are only available in half of counties, largely due to a lack of provider participation. Early enrollment has been low and premiums have been higher than expected. It is facing stiff opposition from major insurers, especially those headquartered in the state.
Providers that serve Medicaid enrollees or state employees would also be required to participate in at least one public option plan. Several states have commissioned studies analyzing public option approaches in recent years. A couple of states with new study activity are:.
Passed in , Public Act instructed state agencies to explore policy options to make health insurance more affordable.
The final report was published this month and evaluates six policy pathways, including a public option. Related Resources and Reporting on the Public Option:.
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