What I don’t understand about the insurance and state lines thing

Obamacare set up health insurance marketplaces. It didn’t take over health insurance like some would make you believe, but one thing it did was establish a website, not much different from expedia, where people can compare available insurance plans. Of course, it made some rules about the plans that can be sold on this platform, and each state has its own set of plans, so somebody from NY, for example, only gets to shop for plans in NY. Republicans latched onto this, and said that it hurt competition, because insurance companies should be able to sell across state lines. I’m not an expert in health insurance, so I’m sure I’m missing something (maybe something big), but the whole thing always seemed silly to me. I’m the first to warn against anecdote, and I should probably use my own advice here, but every now and then we all ignore the rules (even our own), so here goes.

Continue reading “What I don’t understand about the insurance and state lines thing”

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Sometimes when you win, you lose. Sometimes when you lose, you win. And sometimes when you win or lose you really tie.

 

 

The House of Representatives has voted, once again, to repeal the Affordable Care Act. This is not the first time they have done so, and it likely won’t be the last. They passed several bills and amendments since 2011 that repeal or limit Obamacare, and few of these became law. My guess is that this bill will die like the others have, but this time it will be killed by a more pensive (and smart?) Senate. Senate republicans are already saying that they can’t pass the current bill, and it’s not clear that they even have enough support for a vote. It’s hard to see how the House and President see this as a win, but they do, and they had a party at the White House about it. Vice President Pence rallied the crowd (of middle-aged to old white men) with a line, “Welcome to the beginning of the end of Obamacare.” Silly line. Doesn’t that assume that Obamacare will end? Doesn’t it assume that the previous votes weren’t the beginning of anything? Silliness all around.

Continue reading “Sometimes when you win, you lose. Sometimes when you lose, you win. And sometimes when you win or lose you really tie.”