Tag: Regulation

Is There an Argument—Any Argument—for Community Rating? »

I’ve never seen an intelligible argument for community rating. I think I know why. I’m afraid there isn’t any. Don’t believe me? I’ll tell you what I’ll do. I let you pick any recognized ethical system in the entire history of Western philosophy. (Only Western? Yeah, we’re not cultural relativists here.) Altruism, Egoism, Nietzschean...
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Will Republicans Repeal Obamacare’s Risk Corridors? »

This blog’s readers are better informed than most about the (somewhat complicated) question of how health insurers will be compensated for bearing risk in Obamacare’s health insurance exchanges. A previous entry explained the basics of two of the three programs that protect health insurers from losing too much money on Obamacare’s exchanges. These are...
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Contraceptives for Nuns? Government at Its Most Absurd »

How absurd can a law be, to force nuns (who have taken vows of both poverty and celibacy) to explain to the state why they don’t want to pay for contraception? That requirement was too much for Supreme Court Associate Justice Sonia Sotomayor, who issued a temporary injunction against Obamacare’s mandate that health plans...
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Obamacare Health Insurance Has “Narrow Networks,” but Why Are There Any Networks at All? »

Julie Appleby of Kaiser Health News recently reported on a presentation by Paul Mango of McKinsey & Co. to an audience of health-insurance executives. According to Appleby’s report, Mr. Mango’s research found: About two-thirds of hospital networks on the exchanges are “narrow” or “ultra-narrow”; This was defined by surveying 20 urban areas and identifying...
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Obamacare Will Not Prevent Hospitals from Overcharging »

In two recent posts I discussed out-of-control prices for hospital services, especially emergency-room care. In the first, I argued that sky-high hospital prices are the result of government interference. In the second, I cheered the fact that consumer-driven health plans are inducing hospitals (ever so gradually) to be more upfront with patients (at least,...
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“Job Lock” from Employer-Based Health Benefits: What Should Government Do? »

Back in 1993, the economists Jonathan Gruber and Brigitte C. Madrian highlighted the problem of “job lock,” a consequence of employer-based health benefits. Job lock referred to the fact that the U.S. Internal Revenue Code does not tax employees’ health benefits if they are provided through employers’ group plans. However, if employers gave the...
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Who Loses the Most Under Obamacare? »

Chris Conover writes about ...the 3.8 million Americans that the RAND Corporation estimates will become newly uninsured as a result of this law. 2.5 million of these currently have employer-based coverage and another 1.3 million have non-group coverage. While there arguably are tens of millions of other losers created by this ill-conceived law, these...
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Bootleggers and Baptists; Silversmiths and Artemis Cultists »

All students of government regulation (and, to some extent, of other intervention, as well) know about Bruce Yandle’s model of bootleggers and Baptists. In this vision, a special interest with a large financial stake in a regulation joins forces politically (sometimes only covertly or simply in effect) with a religious or ideological interest group...
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How Small Business Is Reacting to Obamacare »

The International Franchise Association and the Chamber of Commerce have released a survey of companies representing 42 million jobs: Sixty-four percent of franchise and 53 percent of non-franchise businesses believe the health care law will have a negative impact on their businesses. Twenty-nine percent of franchise and 41 percent of non-franchise businesses are already...
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Pelosi Caught on Obamacare Lies »

On the November 17th edition of “Meet the Press,” NBC’s David Gregory admirably confronts Nancy Pelosi, having been a key architect and political organizer for Obamacare as House Majority Leader, regarding her June 10, 2009, MSNBC TV-interview statement that, “What we are talking about is affordable, quality, accessible healthcare for all Americans. It’s about...
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