Saturday, February 06, 2016

Federalized medicine

The C-Span clip is Marco Rubio after a campaign rally in Ames, Iowa -- when even sympathetic audience members who stick around for the meet and greet are able to get more revealing answers to policy questions than Rubio provides in the main speech. In this case, a questioner gets Rubio to clearly state -- as one has to multiply-click on his website to establish -- that his alternative to the Affordable Care Act (ACA) involves giving everyone a federal tax credit that can be used to purchase a health insurance plan from any insurance company in any state, regardless of where they live. That may sound innocuous, but it's actually an unravelling of the entire American health insurance system, which relies on state-by-state regulation. The only way to forestall an insurance death spiral as healthy people purchase policies in the least regulated state would be a massively increased federal role in health insurance -- way beyond what ACA has. 

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