Aug 31 2017
04:22 pm

Kasich (R-OH) and Hickenlooper (D-CO) are sending Congress a proposal on Thursday that aims to bolster the individual market, increase state flexibility and restrain rising premiums.

Summary of Kasich-Hickenlooper plan:
• Keep the individual mandate, which requires most Americans to purchase insurance, until and unless policymakers can find a better incentive to get healthy individuals to get coverage.
• Explicitly guarantee the federal government continues to pay insurance companies subsidies that help them offer plans with lower deductibles and copays to low-income individuals.
• Continue the federal government’s efforts to promote enrollment in Obamacare by funding outreach efforts that encourage people to sign up for insurance on the exchanges.
• Create a temporary $15 billion stability fund for states to use to reduce premiums and minimize insurers' losses.
• Spur competition in underserved areas by exempting companies from a federal health insurance tax if they enter markets where there is currently only one carrier.

Problem with the plan, IMO, is that Tennessee will seek any and all possible waivers:
giving states additional leeway in meeting basic coverage requirements and making it easier for states to seek waivers from the ACA’s regulations.

bizgrrl's picture

Then there's this, Sen.

Then there's this,

Sen. Kamala Harris (D-Calif.), a star of the Democrats’ 2016 class who’s seen as a potential presidential candidate in 2020, told an audience in Oakland Wednesday that she would co-sponsor the “Medicare for All” bill that Sen. Bernie Sanders (I-Vt.) is introducing in September.

“It’s just the right thing to do,” Harris said at the end of a town hall meeting, after a standing ovation. “It is so much better that people have meaningful access to health care, from birth through the rest of their lives. The alternative is that we, as taxpayers, are spending huge amounts of money to send them to emergency rooms.”

From what I have seen from her lately, she might be a rising star, if this does not cause her to be a fallen star. I hope not.

Tamara Shepherd's picture

"Fallen star?"

Single-payer health care has become one of the key issues of the progressive movement. More than half of Democrat House members support a single-payer bill written by Rep. John Conyers, D-Michigan. Other Democratic senators who are talked about as potential 2020 presidential contenders, including Massachusetts Sen. Elizabeth Warren and New York Sen. Kirsten Gillibrand have also supported single-payer without publicly endorsing Sanders’ bill.


Then there was Pew Research Center's survey from June, which indicated 52% of Democrats support single-payer (including 66% of Dems age 18-29). Also note growing support for single-payer among young Repubs age 18-29 (now at 22%).

This can and will happen, I think, although it's hard to say how quickly.

R. Neal's picture

The coverage requirements are

The coverage requirements are one of the best things about ACA. Helps way more people than subsidies.

Easy fix for subsidies/marketplace: Medicare opt in. Cut the insurace companies out of it.

Tamara Shepherd's picture


If by "fallen star" you were possibly expressing your reservation about how a single-payer insurance system might work within our present system of exclusively private, for-profit providers, I can appreciate your caution.

A lot of any single-payer plan's success would seem to depend on how the insurance program seeks to cap private provider costs (and/or on whether the program seeks to establish some volume of public providers, too).

In any event, a majority of Dems now supports single-payer, so join us!

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