Mitt Romney's Health Care Model
The big news yesterday on the health care policy front is that the 11th Circuit case against the individual mandate is headed to the Supreme Court before the 2012 election, not after. This means a decision about the constitutionality of the individual mandate is likely to come sooner than expected, which is good for just about everyone across the economy, where uncertainty continues to hinder growth and hiring on the part of firms. Everyone, that is, except perhaps former Massachusetts Gov. Mitt Romney.
Consider the response from Romney during the most recent Republican debate in response to a question from Chris Wallace:
There are a number of factual problems regarding the latter part of Romney's comments, and his description of the way people get that insurance under his plan – namely, the overwhelming number of those newly covered are subsidized by other taxpayers, and are on Medicaid, not private market-based insurance. This is directly the opposite of Romney’s case for his plan in 2007 and 2008, where he explicitly framed the matter not as a Massachusetts-specific solution, but as he said on the day he signed the bill into law, “solving a problem which we face as a nation.” He’s continued to maintain his approach is a “Republican way to reform the marketplace” which ensured personal responsibility, as opposed to “expecting someone else to pay” for your own care.
This is ironic, given that the effect of his plan has been to shift health care costs for the newly covered (reducing the number of uninsured from a little over 9% to 4.4%) to the taxpayers. Of the 412,000 people added to the insurance rolls in Massachusetts since 2006, 47% are on Medicaid, and only 7,000 of them have coverage not subsidized by other taxpayers.
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That insecurity may be exacerbated by news that health insurance premiums are rising, making the high-risk life of an independent worker even more unpredictable. And that's too bad, because freelance and temporary work is one of the few growth sectors
But waivers are temporary, and do nothing to solve the long term problems of health care. In fact, given that Romney is essentially using the waivers as a substitute for proposing an actual reform, should SCOTUS rule against the individual mandate but
During a Patrick administration hearing in June on health care costs, the chief executives of three lower-paid hospitals said they support temporary government intervention, but Nicholas said that turned out to be a minority view during a hospital
So the time-delayed regulations intended to bring health insurance premiums down may have encouraged insurers to hike premiums in the short term in order to start from a higher baseline once the rules kick in. Perhaps that's just a temporary biproduct.
A new survey from the Massachusetts Medical Society reveals interesting divisions among doctors over plans to hold down health care spending -- and perhaps some words of warning for lawmakers. More than half -- 58 percent -- of the 1100 doctors who
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If personal and family health is not reason enough to find insurance, just around the corner we all have the opportunity to become federal law require us to find the supply. In Massachusetts, this is already mandated by state law. Those without a mass buy health insurance face stiff financial penalties.
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