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Politics : A US National Health Care System?
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To: Lane3 who wrote (40640)1/8/2016 3:14:49 PM
From: i-node  Read Replies (1) of 42652
 
The difficult problem, IMO, is the Medicaid expansion.

You can get insurance companies to do guaranteed issue because it was never a big deal. The number of people who were refused coverage was small and it was only the campaign to get the law passed that suggested it was a big deal. My friend keeps telling me how great it is not to have to worry about a $2,000,000 lifetime cap. Seriously? How many people ever came close to it? Not many. They could have been handled readily.

I really think Medicaid expansion is the only really difficult sticking point. Are we going to provide coverage to those who are between 100% and 140% of the poverty line?

I think a negotiated solution where the state pays a portion of it might have been more workable, such that out of pocket expenses are capped at a reasonable level but the state isn't on the hook for every nickel of expenditures, perhaps with some hardship exceptions.

I just don't think it is that difficult to "fix" the law, although the damage it has caused isn't going away.
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