Will ObamaCare double your health insurance premiums?
California's cost estimates have sparked a heated debate. Your premiums might rise sharply, if you are young and healthy and rich.
When California unveiled the bid prices for its health care exchanges — the part of the Affordable Care Act where people without employer-sponsored insurance will shop for plans — on May 23, ObamaCare supporters were jubilant that the bids came in lower than expected. At least in California, the promises of ObamaCare — affordable insurance for all — seem to be coming to fruition.
Then, a few days later, Avik Roy, a conservative health columnist at Forbes, decided to compare the prospective exchange prices with what individuals would pay today. So he created two fictional characters, a healthy 40-year-old male and healthy 25-year-old, neither with any pre-existing conditions, and sought out health insurance for them at eHealthInsurance.com. What he discovered, he said, was the "rate shock" conservatives have been warning about since before ObamaCare passed.
Roy found that the average non-smoking 25-year-old Californian would pay $184 a month for the cheapest plan under ObamaCare, or $205 a month for the comprehensive "bronze" plan, but could get a plan today for $92 a month through eHealthInsurance. For a 40-year-old non-smoker in California, the bronze ObamaCare plan will cost $261 a month, versus $121 a month through eHealthInsurance, Roy says.
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Roy got a lot of pushback. Ezra Klein at The Washington Post agrees that a very small number of people "will find the new rules make insurance more expensive," but says that's because "their health insurance was made cheap by turning away sick people." Comparing the deceptive rates from eHealthInsurance to the options under the ObamaCare exchanges is "not just comparing apples to oranges," Klein says. "It's comparing apples to oranges that the fruit guy may not even let you buy."
Rick Ungar at Forbes was more incredulous. When he read Roy's column, he says, "I must admit that it took a moment to sink in as my first reaction was to laugh. eHealthInsurance.com? Seriously?"
Roy responded to the criticism in a few ways. First, he points to Klein's own visit to eHealthInsurance, where he found a $109-a-month plan for Irvine, Calif., that turned down 14 percent of applicants and another 12 percent were charged more than $109. "To Ezra, it's galling that three-fourths of his compatriots can pay $109 for health insurance," Roy says. Liberal columnists now concede that premiums will go up, but "they're justifying it by saying that 'rate shock' will help a tiny minority of people who can't get insurance today."
Ugh, says Jonathan Cohn at The New Republic. "If you want to know why we can't have an honest debate about ObamaCare, all you have to do is pay attention to some recent news from California — and the way a highly distorted version of it, by one irresponsible writer, has rippled through the conservative press." Anyone who's ever tried to buy health insurance on their own will have "a pretty good idea of how ridiculous Roy's experiment was," Cohn says. And the "teaser rates" are only the tip of the iceberg:
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Here's the deal, says Josh Barro at Business Insider. "If you're young, healthy, and affluent, your insurance is getting more expensive" in California next year. And "if you're old, sick, and poor, it's getting cheaper." Whether you think ObamaCare is a good or a bad thing, it's important to recognize that "what's happening in California is exactly what was supposed to happen."
ObamaCare is the law of the land, but the rules for how we transfer wealth in the system "aren't set in stone and we'll be tweaking the rules that govern them for decades to come," Barro concludes. Instead of quarreling about rate shock, we should be "thinking about which transfers are warranted and which aren't."
Peter has worked as a news and culture writer and editor at The Week since the site's launch in 2008. He covers politics, world affairs, religion and cultural currents. His journalism career began as a copy editor at a financial newswire and has included editorial positions at The New York Times Magazine, Facts on File, and Oregon State University.
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