But the right words.1/20/17 Daily Mail:
President Trump's Obamacare order directs every government agency that implements or enforces the 'Obamacare' law to grant waivers, deferments, exemptions and delays in order to minimize or eliminate any costs associated with implementing Obama's signature medical insurance scheme.
It also orders agencies to bend over backwards in order to 'provide greater flexibility to States and cooperate with them in implementing healthcare programs.'
And in a nod to Trump's oft-stated goal of erasing geographic boundaries that established state-specific monopolies for insurers, his order requires federal agencies to 'encourage the development of a free and open market in interstate commerce for the offering of healthcare services and health insurance, with the goal of achieving and preserving maximum options for patients and consumers.'The state boundary limitations on health insurance certainly drive up insurance costs.
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Admittedly ignorant about many of the details of health insurance laws and regulations, I've always thought the prohibition on interstate insurance markets was to preserve the viability of local insurance regulations. If one state requires x, y, and z be included in health insurance policies and another only requires x, those policies are likely to be cheaper and the most people in the first state would prefer to buy the policies from another state.
ReplyDeleteI'm not against an interstate health insurance market - I'm for it, but that's just my expectation of what has been going on up till now. It's sort of like welfare. If the states did welfare themselves, there would be pressure in a state to reduce welfare subsidies for competitive reasons. Something else I'd prefer.
We already have been told that companies were not issuing 1095B or C forms showing that employees had the required health insurance. Thus we (meaning H&R Block tax preparers) have to rely on the W-2s that show how much was allocated to employer supplied health insurance. In truth rebellion against the system was already growing whether Trump was elected or not.
ReplyDeleteNot sure how this is going to finally end: in truth it may never end, just keep being a recurring issue every four years. But the insurance program that was really a new tax on citizens is going to end.
James: Did they have a reason not to issue?
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