I figured out a Rube Goldberg method to get early 2017 Patient Protection and Affordable Care Act (PPACA) public health insurance exchange plan filings for many states out of government databases.
At least, this year, I can get some of the early flings, but the process takes a long time. I’d need to give up all my other work to go through all of the databases every day. Even the thought of it makes me tired.
Meanwhile, I’ve been reading public comments under some of U.S. long-term care (LTC) system reform articles that I’ve done and other articles I have written.
Commenters who love the government have converged on the hope that Bernie Sanders will get us single-payer everything for everyone. Single-payer health care? Yes. Single-payer long-term care? Sure. Single-payer bowling? Why the heck not? (But maybe the shoes will still be bad.)
Commenters who hate the idea of government involvement, just hate it! (Although, interestingly, the remaining private stand-alone LTCI issuers seem to be noticeably warm toward the idea of public-private partnerships.)
Meanwhile, over in PPACA land, we have the usual stadiums full of people who sputter at the mention of Obamacare, either because it’s “Communism,” or because it’s not “Communism,” darn it.
The moderately Democratic supporters in the middle point shyly to the dramatic improvement in the uninsured rate between 2013 and today, especially in the states that took that “free” PPACA Medicaid expansion money from the federal government.
Even in the states that did everything they could to support PPACA, the improvement in the uninsured rate may not be what some had hoped, but it’s big. That’s something. Plenty of people will buy major medical coverage with a low out-of-pocket premium, if it’s marketed heavily.
But what’s noticeable, beside the random dribble of 2017 filing information, is the lack of any effort whatsoever by anyone to tell me how much the PPACA coverage expansion programs have cost per newly insured enrollee.
Is the government really, truly – when you include all of the subsidies for individuals and exchange programs — spending an extra $1,000 per new enrollee? Or perhaps $5,000? Or maybe $20,000?