If We Can't Fight The Trigger, Join It.
Looks like if there is going to be a public option it's going to have a trigger attached to it. The public option, even a weak one, won't actually become available unless the private insurance industry fails to deliver cost savings or to cover everyone, though we all know that these simple metrics will be written so broadly and with so much wiggle room that the trigger will likely never be pulled. A trigger on the public option means no public option.
Fine.
So let's add a second trigger -- on the individual mandate. The mandate exists because insurance companies say that if they have to cover everyone regardless of pre-existing conditions that people will refuse to buy insurance until they get sick. It's called the "Free rider" problem and it's very compelling.
But it's also hypothetical. We don't have any evidence that people will actually behave that way. For example, a lot of insurance policies won't let you make a claim in the first 3-6 months -- that alone creates a risk to not buying insurance until you think you're sick. What if you break your leg, you going to wait 6 months to get it set?
There's an excellent chance that the free rider problem isn't actually real. But, who am I to judge? Let the insurance companies prove that it's a problem and if it is, by all means we can have a mandate to solve it. But, make them prove it. And lets make the trigger rules at least as vague as the public option trigger rules will be.
Fine.
So let's add a second trigger -- on the individual mandate. The mandate exists because insurance companies say that if they have to cover everyone regardless of pre-existing conditions that people will refuse to buy insurance until they get sick. It's called the "Free rider" problem and it's very compelling.
But it's also hypothetical. We don't have any evidence that people will actually behave that way. For example, a lot of insurance policies won't let you make a claim in the first 3-6 months -- that alone creates a risk to not buying insurance until you think you're sick. What if you break your leg, you going to wait 6 months to get it set?
There's an excellent chance that the free rider problem isn't actually real. But, who am I to judge? Let the insurance companies prove that it's a problem and if it is, by all means we can have a mandate to solve it. But, make them prove it. And lets make the trigger rules at least as vague as the public option trigger rules will be.











