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The problem in part includes a failure to understand what insurance actually is. If your house is on fire, you cannot stand out front and call and buy home insurance. One of the principle reasons for the spike in prices, under the ACA, is we can now effectively obtain insurance when we get sick. To pre-existing conditions, this cannot be covered by any traditional insurance model. Even group insurance, eg through employers, necessarily requires a certain waiting period.
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Regarding pre-existing conditions, they can be covered by State-run high-risk pools. These were effectively banned under the ACA. It ensures that health insurance is affordable for the vast majority who are inherently healthy while at the same time ensuring there is coverage for those pre-existing conditions. Bottom line, it is not possible to have it both ways and as evidenced elsewhere it has been tried, universal single-payer health care simply does not work.
April 22, 2017 • USA