"Con Reeder, unhyphenated American" wrote
> Meanwhile, this headline at the Associated Press:
> Iowa's last statewide exchange insurer seeks 43 percent hike
The "why" here is actually interesting. There's ONE
person in Iowa who uses over $1M/month in medical
treatment. (He has a rare blood disorder.)
He obviously blows through his deductible in the first
few days of the year. After that, the insurer is on the
hook for over $12M, with possibly more if he has any
complications.
Under Obamacare, he can't be denied coverage and
the insurer can't cap payouts on a year or lifetime basis.
So the insurer has to try to spread out the cost - and that
means higher premiums. Or, with some, simply leaving
the market since they can't afford to risk this guy signing
up with THEM. (That's why Iowa is down to one exchange
carrier.)
Under the GOP plan, he'd get denied coverage or it
would be offered at a price he clearly couldn't pay.
(What would they charge for someone who they KNOW
is going to use $12M a year?) So he goes to a high-risk
pool, if Iowa creates one, or moves to another state that
does. And he still has to pay more, but now the bulk of
the cost is on the taxpayers. Or he simply goes without
coverage, can't get the maintenance care he needs, and
only gets treated by a hospital in urgent situations (who
then has to charge more for everyone or go broke).
(Just a side note on high-risk pools - Iowa has about 1.5M
employed residents. So, if it's a high-risk pool, each would
have to chip-in $8 in taxes just for him.)
So, all you free market types - what's the free market
solution here? The crazy left-wing solution is single-payer.
One $12M/yr patient spread over 150M isn't that much...