Health Care Reform for Beginners: The Many Flavors of the Public Plan

public insurance is simply more efficient. Medicare holds costs down better than private health insurance. The substantially public systems employed by every other industrialized nation cost less and cover more than the American model. So the question became how to marry the policy need for public insurance with the political need to preserve the status quo. Full Story »

Posted by Kaizar Campwala

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Tanya J. Maurer
3.9
by Tanya J. Maurer - Jun. 11, 2009

The article gives a description of the current top options and their impacts, and states a preference for a strong public plan option.

The private insurance market is a mess. It’s supposed to cover the sick and instead competes to insure the well. It employs platoons of adjusters whose sole job is to get out of paying for needed health care services that members thought were covered.

the theory here is simple: If you can’t replace them, convert them. If the public plan works, then private insurance will work better as well. In this telling, the simple existence of the public plan forces a more honest insurance market: Private insurers need to offer premiums closer to their marginal cost, and they have to cut administrative costs, and they have to work on their reputation for cruelty and capriciousness.

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