
Originally Posted by
crb
There is a long history of private insurances modeling coverage based on government offerings.
Secondly the Affordable Care Act did far more than establish exchanges and subsidies, it also wrote coverage mandates for every private insurance plan in the country (which is honestly the larger part of my problem with it), and it is a fluid thing where minimum coverage levels get periodically reevaluated. Now, on face value, the idea of "minimum coverage" seems like a good thing. You don't want any customer getting misled thinking they have health insurance only to break their leg and find out only arms are covered. But the problem with it is that special interests get involved, as they always do, and the minimum coverage is the car equivalent of a Cadillac. Theoretically if we forced everyone to buy a Cadillac or not drive at all, we'd see a lot more bicycles, wouldn't we? But that is what we've done with healthcare. There is actually a provision for prayer healing in there, and of course the infamous contraception mandate, maternity coverage, addiction coverage, children up to age 27, etc. These are things not everyone needs. The 50 year old man doesn't need maternity coverage, but he is forced to buy it (feminazis will say this is so they (women) don't need to "unfairly" pay more for health insurance. Note men pay significantly more for life insurance, because of course we die sooner, yay us, if it really is a thing for genders to pay equal amounts for everything why don't we "fix" life insurance?). The 18 year old low wage laborer without parental support doesn't need coverage for his nonexistent 27 year old kids, but he is forced to buy it so 27 year old future-rich graduate students can afford more beer. No one needs prayer healing.
All of these minimum coverage mandates cost money, but insurers have to charge them. Meanwhile customers, as ever, want lower prices. So the government changes one minimum coverage mandate that is actually pretty good, a yearly physical, meanwhile all those other coverage mandates go up in price and more are added (if history is any guide, chiropractors, naturopaths, herbologists, etc etc etc all constantly lobby to be included, and so new minimum coverages happen every once in awhile). Is it really that unbelievable that, in the face of rising costs of things they have to buy but people don't want, and people asking for lower prices, an private insurer might cut where they can, including that yearly physical, or any of the other recent controversial shifts?
What is the solution? Tell the government to fuck off, what an insurance plan covers, as a private contract, should be between the customer and the insurer. The governmental role, if any, would be patient education, the adjudication of disputes through the courts, and regulations for disclosure prior to issuing insurance (truth-in-lending disclosure form equivalent). Just imagine if insurers had flexibility of what they offered, insurance could be sold nationwide across state lines (the big reason for that push is to escape special interest won state coverage mandates), and an exchange was run by Amazon or Google with a full slate of comparison tools and customer reviews? A true marketplace.