General Discussion
In reply to the discussion: Young Men, are you upset that you'll no longer be able to get health insurance cheaper than women? [View all]Nine
(1,741 posts)I think, as others have noted, you are tying yourself up in knots here. I'll make it simple for you: what you are suggesting is not a minor tweak. Rather, you are suggesting demolishing the very foundations of Obamacare; you simply cannot have people picking and choosing which kinds of coverage they want or whether they have coverage at all. Rather, all policies must meet the same minimum coverage requirements. All Americans must be required to get a policy. And there must be subsidies to help the less well-off pay for their policies. Krugman has done a good job of explaining this.
Although everyone must have a policy with maternity coverage, not everyone will need it. Perhaps your argument is that pregnancy coverage is not a true shared risk in the way that cancer coverage is because it's guaranteed that a man will never get pregnant (never mind that men are 50% responsible for creating each pregnancy), and it's unlikely that a woman over (or a girl under) a certain age will. In that case, don't think of it as shared risk. Think of it like public schools that we all pay into, even those without kids, because it makes society better, not because we all derive equal personal immediate benefit from it.
Besides that, while an uninsured woman can go without prenatal care (to the detriment of herself and her fetus), the delivery costs are harder to avoid. We all will be paying for that one way or another anyway, so why not have ACA be the mechanism for doing so since that is what it was designed to do?