General Discussion
In reply to the discussion: No, Obamacare is not making your insurance premiums go through the roof. [View all]TygrBright
(21,276 posts)Essentially, the model of choice was to replace the capitalist keep-em-sick-keep-em-paying system (KESKEP) with a public single-payer option.
Nobody thought it was do-able.
Several iterations were designed, each one less obvious.
The final, and elegant, model was designed on the principle of mandating the existing system to work the way it claims it's supposed to work.
Which includes controls on booting sick people out of the pool, refusing to incur risk or insure anyone who might be less than profitable, and a whole raft of fairly subtle controls on premium-jacking.
This was implemented in full knowledge that if it plays out as the legislation was designed to, it will render it so unprofitable for the insurance end of the KESKEP system that it will dry up and blow away.
That's the easy part.
It's the other end of the system- the ones who get rich from people staying sick enough to consume healthcare from for-profit providers- that's going to be the really tough nut to crack.
But we have made some steps in that direction as well.
It ain't gonna happen overnight. The cancer of KESKEP grew quietly for a long time before threatening to consume too big a share of the capitalist system, annoying enough of the rest of our Beloved Oligarchs to make it possible to address the problem.
helpfully,
Bright