It’s time we faced the issue of health care coverage without the slant of ideology or partisan politics. Obamacare was flawed, but it was further crippled by Congress changing and not implementing some of its provisions, including those which provided funding for the program. Insurance companies professed interest, but several of the largest refused to participate in the marketplace of many states, citing fears they would be putting their better-paying customers in the position of paying for those less well-off and this was too big a risk to take. The hoped-for competition didn’t take place and premiums rose.
We have to face facts. Many rural areas and some inner city areas lack the economic base to provide quality health care to all of their residents. Some people perceive the economic gap as unfair, and believe a different arrangement would solve the problem. When that arrangement has been to receive financial help from the more affluent, often urban areas, or centralized government, it has added to the resentment. Buying policies across state lines, as has been proposed, only puts the burden on those states with a more affluent population. Tax credits will most likely be inadequate, and health savings plans cannot provide enough of a safety net in the event of chronic illness. The free market won’t solve the issue, either, since there isn’t a large enough market in many rural areas, insurance companies have little incentive to provide coverage. None of these address the basic problem of inequality.
Rather than repairing Obamacare or putting together a cobbled-together health care program, which will probably greatly resemble Obamacare, or fall far short of solving the problem, we need to take a fresh look at the problem. In my view, the best way to provide health care to everyone is to have a form of health care program similar to Medicare, with various options, into which everyone pays and everyone receives quality coverage. This would overcome the issues of income redistribution and inequality, and the anger and division which they create. Whether this program is operated by the federal and state governments or by a consortium of private and public health care providers, or allow people to choose between these models, would make for an interesting debate.