Friday, January 08, 2010

How MassCare messed up health care

Wendy Button writes at Politics Daily that thanks to having moved to Massachusetts, she can no longer afford health insurance. "Universal Coverage" isn't working.

In D.C., I had a policy with a national company, an HMO, and surprisingly I was very happy with it. I had a fantastic primary care doctor at Georgetown University Hospital. As a self-employed writer, my premium was $225 a month, plus $10 for a dental discount.

In Massachusetts, the cost for a similar plan is around $550, give or take a few dollars. My risk factors haven't changed. I didn't stop writing and become a stunt double. I don't smoke. I drink a little and every once in a while a little more than I should. I have a Newfoundland dog. I am only 41. There has been no change in the way I live my life except my zip code -- to a state with universal health care.

Massachusetts has enacted many of the necessary reforms being talked about in Washington. There is a mandate for all residents to get insurance, a law to prevent insurance companies from denying coverage because of a pre-existing condition, an automatic enrollment requirement, and insurance companies are no longer allowed to cap coverage or drop people when they get sick because they forgot to include a sprained ankle back in 1989 on their application.
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I want health care reform. I need it, but I want Washington to start over. It doesn't make me "un-American" or "astroturf" or "racist." I'm a critic because what Washington is talking about doing has made health insurance unaffordable in Massachusetts.

If Washington won't go for a simple clean move to a system like Medicare for All, then it needs to do one reform, one new law, at a time -- not with a 1,000 page bill where strange things can hide. Line up the 80 percent of things we agree on and vote one at a time to change pre-existing conditions, cut that $500 billion in Medicare's "waste, fraud, and abuse," create meaningful lawsuit reform, and add some real competition to insurance companies whether it's a public option or a pilot exchange program. Show the country that this is possible with lower premiums and more efficiency and then go for the tough stuff. Critics like me want something done right because we actually are up the creek without a paddle.

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