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by konaraddi
98 days ago
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> We've effectively had that here with the ACA, where the government has decided that it will cover the first $800 or so dollars of your health insurance. What happened? Magically, the cost of health insurance increased by $800. I don’t think that’s an accurate description of ACA [1], it didn’t lead to a dollar to dollar increase in premiums (share a citation if otherwise), and it’s a bit misleading to say it led to an increase in premiums because plans pre-ACA were effectively inaccessible to and lacking in benefits for impoverished people or people with pre-existing conditions. [1] Here’s a brief description of ACA from Wikipedia: > The act largely retained the existing structure of Medicare, Medicaid, and the employer market, but individual markets were radically overhauled.[1][11] Insurers were made to accept all applicants without charging based on pre-existing conditions or demographic status (except age). To combat the resultant adverse selection, the act mandated that individuals buy insurance (or pay a monetary penalty) and that insurers cover a list of "essential health benefits". Young people were allowed to stay on their parents' insurance plans until they were 26 years old. |
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Since the 2022 covid bill which significantly increased the subsidization of premiums, health insurers have found various reasons to increase their premiums by inflation beating numbers.
That's obviously a "the market will bear it" situation.
The ACA was a big bill that did a lot. I'm not talking about all of it, but rather the premium subsidization along with the covid premium increase which both expired in 2026.
Look, the premiums expiring was bad. IDK if that was clear from my earlier comment. But there's a fundamentally unaddressed issue with insurers in general where they charge not based on competition or the cost of service, but based on what consumers can bear. Profit incentives for healthcare in the US are completely misaligned with providing good general healthcare. The ACA premiums are a bandaid over an artery laceration. Better than nothing, but that thing is going to very quickly start bleeding through. You can keep slapping on band-aides, but ultimately you'll be looking at more damage if you don't just address the issue.
[1] https://www.healthsystemtracker.org/brief/an-early-look-at-w...