- Human wages, robot purchases in lock-step (4/11/24)
- Heed the call for caution this year in road work zones (4/9/24)
- This year, heed the call for caution in highway work zones (4/9/24)
- Railroad safety should not be left to contract negotiations (4/5/24)
- Rejecting LB764 upholds fairness in Nebraska (4/4/24)
- A wake-up call for young adults: Get your cancer checkups (4/2/24)
- LB 388 continues to raise questions about many issues (3/22/24)
Editorial
Will market forces spell the end of Obamacare?
Tuesday, August 16, 2016
Donald Trump and other Republicans have repeatedly called for the repeal of Obamacare, but it looks like market forces might do that job for them.
What isn't clear is what Republicans or Democrats will come up with to replace it. Is a Canada-style single-payer system as inevitable as many believe?
Another major insurance company has made it clear there are many states where it won't be paying.
Aetna announced it would pull out of health insurance exchanges in 11 states, offering coverage through Affordable Care Act exchanges in Delaware, Iowa, Nebraska and Virginia only in 2017, a reduction of 70 percent. That's 242 counties nationally, compared to 780 this year.
It wasn't an unexpected move; the company announced $200 million in ACA-related pretax losses in its second quarter earnings report two weeks ago, and suffered a setback a month ago after the Department of Justice sued to prevent its acquisition of Humana, a competitor.
Nebraska is probably a more viable market for Aetna as a result of the collapse of CoOpportunity Health, a cooperative startup that was unable to cover health costs for members who were more numerous than expected and sicker than expected. It also did not receive federal subsidies that were expected and was taken over by the state.
UnitedHealth Group Inc. and Humana Inc. are also scaling back involvement in health insurance exchanges, and many other smaller nonprofits are going out of operation because of losses and lack of government subsidies.
Perhaps it's too early to pass final judgment on Obamacare, since many of the young, healthy Americans who need to be included are still paying penalties rather than purchasing insurance.
If any ACA opponents have an actually viable plan for providing universal health care, now is the time to speak up.