Adverse selection … which, of course, is the tendency for human beings to act in their own perceived best interest.
You can repeal Obamacare and go back to the way things were, but repealing it and keeping things the same or better is quite a challenge. Proponents of repeal do not fully understand the system or in my opinion, human nature. They also tend to base their views on their current circumstances, ie. I’m young, I don’t have high bills, I don’t need maternity benefits, I can pay cash for most of my care, etc. They think high risk pools will take care of pre-existing conditions so everyone can enjoy lower premiums (but, of course, pay for these pooled expenses through their taxes).
In brief, CBO and JCT estimate that enacting that legislation would affect insurance coverage and premiums primarily in these ways:
The number of people who are uninsured would increase by 18 million in the first new plan year following enactment of the bill.
Later, after the elimination of the ACA’s expansion of Medicaid eligibility and of subsidies for insurance purchased through the ACA marketplaces, that number would increase to 27 million, and then to 32 million in 2026.
Premiums in the nongroup market (for individual policies purchased through the marketplaces or directly from insurers) would increase by 20 percent to 25 percent—relative to projections under current law—in the first new plan year following enactment. The increase would reach about 50 percent in the year following the elimination of the Medicaid expansion and the marketplace subsidies, and premiums would about double by 2026.
Republicans are on the path to political suicide because they do not understand the health care system, how people view paying for health care or human nature. And they believe the polls that the majority of Americans dislike Obamacare. The fact it the vast majority of Americans have no idea what they are talking about when it comes to Obamacare or health care/insurance in general. Most people still blame insurance companies for high costs and the most naive blame CEO compensation. Give me a break‼