A Texas-Sized Health Care Failure

THE Senate Finance Committee has for the moment rejected the idea of creating a public health insurance plan. It’s difficult to see how Americans will be able to find good, affordable health insurance without one. But if we are to go forward without a public option, it is more important than ever to make sure that we get another part of health reform right: the exchanges, where it is envisioned that small businesses and people without employer-sponsored ... Full Story »

Posted by Kristin Gorski - via NewsRack (Health Care), New York Times (Opinion), Opinion Source, AllTop, New York Times (Most Emailed)
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Subjects: U.S., Politics, Health
Topics: Health Care
Member Tags: health insurance and managed care, reform and reorganization, health care exchanges, small business, united states politics and government, public option, Insurance industry, Texas
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Posted by: Posted by Kristin Gorski - Oct 5, 2009 - 6:12 PM PDT
Content Type: Article
Edit Lock: This story can be edited
Edited by: Kristin Gorski - Oct 6, 2009 - 6:13 AM PDT
Patricia Blochowiak
4.3
by Patricia Blochowiak - Oct. 9, 2009

Shows a real understanding of the way insurance companies operate.

Demonstrates the necessity of the public option.

See Full Review » (18 answers)
Fabrice Florin
3.8
by Fabrice Florin - Oct. 6, 2009

Insightful opinion about the viability of insurance exchanges proposed in the current health care bill, from the former chairman of the Texas Insurance Purchasing Alliance. The author shares candidly some of the lessons he learned from the failure of that project, along with a well-reasoned argument for requiring insurers to accept everyone and charge everyone the same rates regardless of health status. Thoughtful recommendations from an expert in this field.

Please compare this article to other 'sparring opinions' on our blog: http://bit.ly/GZAy5

our exchange failed not because it wasn’t needed, and not because the concept wasn’t sound, but because it never attained a large enough market share to exert ... More »

See Full Review » (13 answers)
Kristin Gorski
3.9
by Kristin Gorski - Oct. 6, 2009

A compelling, clearly written op-ed from an authority on health insurance exchanges. Brings up key conditions needed for a successful exchange and cites failures to explain what went wrong.

Texas wasn’t the only state to see its insurance exchange fail. Florida and North Carolina were also unsuccessful. And California, which had the first exchange ... More »

See Full Review » (11 answers)
Jo Bobenhouse Smith
5.0
by Jo Bobenhouse Smith - Oct. 6, 2009

I found Mr MCGarr's piece very informative because he honestly shared his experience in a clear and straiightforward manner. He backed up his experiences with facts from other states before making a succinct recommendation. I highly recommend this article.

See Full Review » (5 answers)
Shellie Lyon
4.0
by Shellie Lyon - Oct. 6, 2009

This article is well written, and the author is certainly qualified to reveal problems associated with insurance exchanges. I think specific examples of what small businesses suffered as a result of cherry picking by larger corporations might make the piece more compelling.

See Full Review » (4 answers)
Patricia Berrini
4.6
by Patricia Berrini - Oct. 6, 2009

It is quality journalism because it is well written by a person who was in charge of an insurance exchange that failed. The reasons for this failure are cited and explained. This option is thoroughly discussed as our suggested regulations if enacted.

This is a first person account from someone who was in a position to know a great deal about the viability of insurance exchanges that are being touted in lieu of a public option.

Texas wasn’t the only state to see its insurance exchange fail. Florida and North Carolina were also unsuccessful. And California, which had the first exchange ... More »

See Full Review » (13 answers)

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