The missing ingredient
The ACA sets uniform minimum coverage standards and plan design requirements that apply to all states. What is this "affordable coverage available in other states" that is not available in the State of New York?I.... insurance because insurance in liberal New York state is such a poor value due to the mandatory inclusions. Given the state regulations, Obamacare in NY should be called the Unaffordable Care Act because it prohibits my friends and others from buying the types of affordable coverage available in other states.
That's not exactly true. Unless you have a qualifying event (which developing an illness is not), you cannot sign up for coverage outside of the open enrollment period. So if your friends needed some type of urgent care before the next enrollment period, they would have to pay out of pocket.And because the Democrats refuse to allow any sanctions against those who go on and off coverage, my friends can simply sign up for Obamacare with no repercussions if they end up needing treatment for something.
Or maybe the penalties for non-compliance aren't high enough.(This is why I support punitive rates for those with pre-existing conditions who do not maintain continuous coverage.) It's promoting the very behaviors it seeks to avoid.
But that's a funding issue, not a coverage issue.I am also very wary of the government giving people "free" and/or "guaranteed" things because they're near impossible to take away. Losses hurt three times as much as gains feel good, etc. I think it's wrong and irresponsible to guarantee people coverage that's being funded by expanding the deficit and the national debt.
I just don't see how it's in society's best interests for people to be well. All of us benefit when each of us is able to contribute to our fullest. Having said that, I do think we will eventually need to acknowledge that we do not have unlimited resources and evaluate whether certain treatments make sense, but that's a separate issue.