Pittsburgh Post-Gazette

Congress can find a bipartisan solution to health care

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Even though congressio­nal passage of Ryancare has failed, Obamacare still has a well-documented problem in the individual insurance marketplac­es that needs to be fixed.

As stated in the March 25 Post-Gazette (“Republican­s, Democrats Argue What Comes Next After Replacemen­t Plan Fails”), the Affordable Care Act “marketplac­es are currently a conduit to health coverage for 10 million Americans, but they have been financiall­y fragile, prompting spiking rates and defections of major insurers.” Further, the March 26 story “Now What? Options for Consumers as Health Law Drama Fades” stated, “About a third of the nation’s 3,100 counties are down to just one insurer.” That is one-third of U.S. geography, mostly rural, one-third of the U.S. population.

This marketplac­e problem affects only about 3 percent of Americans. As Ohio Republican Gov. John Kasich recently said, the ACA has problems, but “let’s not throw the baby out with the bath water.”

There is a simple legislativ­e fix, which Democrats will support, to the ACA individual marketplac­es that have high insurance rates due to only one insurer: Allow individual­s in these one-insurance-offering counties to purchase Medicare, based on actuarial calculatio­ns. Many of these one-insurance-company marketplac­es have too small a population pool for an insurer to offer lower rates. By adding these individual­s to the vast Medicare population, their health insurance rates would drop dramatical­ly. Clearly, the Republican chant is “lower health insurance premiums.” I expect the private health insurers would not object to the government taking over these difficult health insurance population­s that are creating bad publicity for the insurers.

There is a solution to every problem; however, you might not like it. We send our representa­tives to Washington to solve tough problems. Our Congress needs to take this idea to fix the health insurance marketplac­es and turn it into bipartisan law. PETER FLOYD

Sewickley

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