The health insurance exchange in Vermont is one of the ones having technology problems.
On the one hand, in the long run, one small state’s ability to get an insurance sales website to work probably has little or nothing to do with whether the idea of having a public health insurance exchange, or any kind of health insurance exchange, is a good or bad idea.
But, of course: Vermont is one of the states that’s been famous about beating up on agents and brokers. It now requires all individuals and small groups to buy coverage through its Vermont Health Connect system. It hasn’t even tried to sugar coat its disdain for the ruffians who dare to help people buy health coverage: It magnanimously granted brokers the privilege of charging consumers $20 per person, per month, for their services, but that’s it.
Now, of course, we see stories about how Vermont still has no system in place for give the consumers who bought qualified health plans (QHPs) through the state’s exchange to make changes online.
Whether someone likes PPACA, thinks it’s a communist plot, or is actually a communist and wants a single-payer system for health care (or, maybe, for all goods and services), it seems as if the logical response to the problems facing a state like that is to think: Ha ha ha. Losers.
But, on the other hand, even nice states can have exchange system problems. Health policy makers throughout the country might be starting to think about what the PPACA Public Exchange System 2.0 might look like.