How About A Medicaid Buy-In?
While something called "health care reform" will be passed, it's pretty clear now that there will be no real reform in the bill. If there is good remaining in the bill, it will be Medicaid expansion and subsidies for less well off person to purchase minimal insurance.
How can you get the good in this bill and still have a chance for health care reform in the future? The mandates are a sticking point of course. They are the lever for the political bargaining that might make health care reform possible in the future. But there are others. Ben Nelson is not done yet and Bart Stupak is still waiting in the House. The problem with the subsidies is that they are going to be channelled through exchanges which will be subject to a Stupak Amendment. The current bill makes that too bitter a pill to swallow I think.
There is a solution to these problems I think. Instead of channeling the subsidies through the exchanges, eliminate the exchanges and make all persons who would have been eligible for the exchanges able to use their subsidies to purchase Medicaid. More . . .
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