Enzi's bill (S.1955), like Conrad's co-ops, was touted as a way to insure more people but would in fact have eroded existing coverage for those who already had health insurance. Under it, any HMO or insurer could ignore state patient protections, courts and regulators to sell "junk" health insurance.
Shifting the Burden to the Middle Class
All of the bills being considered in Congress require Americans to buy private insurance policies. The fragmented co-ops, with a few possible large-state exceptions like California, would not be capable of protecting their customers from the worst insurance company abuses, including double-digit premium increases and other steady cost-shifting onto the middle class. Any effort by states to band together in regional alliances would raise a demand by insurers to be exempted from any state patient protections or controls.
Only a national public option would have the clout to bargain with providers and bypass the insurance companies altogether.
(1) See Elliot K. Wicks, Health Insurance Purchasing Cooperatives, Issue Brief, The Commonwealth Fund, November 2002, page 3-4.
(2) Id.
(3) Jacob S. Hacker, Ph.D., Case for Public Plan Choice in National Health Reform, Institute for America's Future & U.C. Berkeley School of Law, December 2008, page 5.
(4) Robert Pear and Gardiner Harris, Alternate Plan as Health Option Muddies Debate, New York Times,
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