Senator Roy Blunt in an email replying to a constituent
“In addition to increased costs, families in Missouri and across the nation have lost the ability to choose a plan that best suits their health care needs. Missourians in 97 of 114 counties and the city of St. Louis will only have one option on the exchange.”
Let’s keep all this in perspective. There are 324,118,787 people in the United States; of that number about 11 million are enrolled in a Obamacare exchange plan. That is 3.4% of the population.
By comparison 55.3 million Americans have Medicare and about 156 million have employer based coverage (of that, 70 million have employer self-insured plans). The rest have Medicaid, VA coverage or are uninsured.
You can’t offer a choice under the “best suits their needs” concept if you mean the choice variable are the health care services under the plan. To save money, the natural choice is for people to select in their own interest. That results in high health care users being concentrated in select plans thereby driving up premiums.
On the other hand, if the only variable is out-of-pocket costs, the risk is assumed by the individual.
Politicians don’t know what they are talking and are pandering to people who know less.