Thursday, March 29, 2012

Do We or Do We Not Understand the Individual Mandate?

Conventional wisdom seems to be that the Supreme Court will strike down the individual mandate portion of the Affordable Care Act. National prevailing sentiment suggests the majority of Americans are against it...
Or are they?
What's interesting is that once it's explained, it appears Americans like it more than they think. The question is how well do we understand it? According to the National Journal, the answer is probably not...
"Maybe the individual mandate is doomed, as an agitated-slash-celebratory Twitterverse seemed convinced after conservative Supreme Court justices posed challenging questions about it (shocking!) on the second day of arguments on the Affordable Care Act. If the justices vote later this year to kill it, with the possibility that the whole law will collapse as a result, Republicans would be vindicated in their fight against "big government." But in practical terms, would the country really know what it has lost?"

"From a political standpoint, the mandate invented by the GOP of yore ("yore" being a dozen years ago) has been manna for today's GOP. Polling shows the requirement to buy insurance or pay a fine -- meant to discourage freeloaders -- has become highly unpopular. Strangely, the dreaded mandate isnot particularly unpopular in Massachusetts, the only state that charges penalties for not buying coverage."

"Disapproval of the individual mandate nationally, meanwhile, seems to be a mile wide but not all that deep. There's evidence that many people don't understand what it is, why it is, and how it would affect them, and that their answers change depending on word choice and word sequence."

"They like it better - about even with disapprovers in a Pew poll -- if the last thing they hear is aboutsubsidies to help lower-income people buy insurance. They like it somewhat when it's explained that without it, people would just buy insurance when they got sick (driving up costs for everyone) or alternatively, insurance companies could not be required to cover people with existing medical problems (because without a mandate, there wouldn't be enough healthy people in the pool). They like it best - 61 percent approval in a Kaiser Family Foundation poll -- when they're told it won't apply to most people because they have insurance through work..."

"...At some point, as 50 million uninsured rises to 60 million and 70 million and higher, as more states approach the astonishing Texas rate of 26 percent uninsured, Congress may decide it has to do something. And, barred from effectively regulating the private market, there will be no options except the public option - Medicare for all."

"That should be a safe course. After all, the policy already exists. But in the current climate it's not hard to envision a conservative challenge to Medicare, and who knows what the Supreme Court might do?"

Think of it: the entire U.S. saying, "We are Texas!" when it comes to our present state of health care...
The complete article can be read here.

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