When Barack Obama pitched his
health care overhaul last year, he declared, “My guiding principle
is…that consumers do better when there is choice and competition.”
But judging by the legislation he signed into law, his idea of a
competitive marketplace is one that’s run by the government. In
theory, the new exchanges will expose health insurance customers to
greater competition while protecting them through regulation. In
practice, they will likely prove difficult to design and implement,
and may ultimately undermine the country’s quality of care. No
matter what, writes Associate Editor Peter Suderman, there is
little doubt that the exchanges will fundamentally alter the health
insurance landscape across the states.
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