health insurance reform

Taking Stock of Exchanges: Bigger is Better

The different health reform bills pending in Congress represent quite different understandings of what a health insurance exchange is, what it does, how it is organized and how it functions. These differences are likely to affect significantly the extent to which the exchanges accomplish their goals and avoid the problems that have afflicted earlier attempts at creating and operating exchanges. The exchanges should operate at the federal level, as the House health care reform bill provides. more »

Trigger Troubles—And Why the Senate Can’t Fix Them

A persistent bad idea in the debate over the public health insurance option is the so-called trigger. In theory, a trigger would make a public health insurance plan available to Americans receiving coverage through a health insurance exchange if private health plans did not sufficiently hold down costs. In practice, however, a trigger inserted into either of the two Senate bills now being merged (the Senate Finance Committee bill and the Senate HELP bill) would not be able to work. more »


Jacob S. Hacker's picture

Trigger Troubles—And Why the Senate Can’t Fix Them

As closed-door discussions continue in the Senate, the resilient bad idea of triggering the public plan is once again on the table. Advocates of the trigger cast it as a compromise that will attract the support of the small number of conservative Democrats who have expressed reservations about the public option, as well as Republican Olympia Snowe, who has proposed a trigger. more »

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Roger Hickey's picture

The House Will Make Sure the Senate Includes a Robust Public Option

This is the moment when Senate Finance Committee Chairman Max Baucus and Majority Leader Harry Reid (and President Obama) should make history by producing a Senate health reform bill that

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Health Policy Experts Speak Out About Why A Public Insurance Option Is Essential For Reform

WASHINGTON -- As sweeping health care reform legislation moves on Capitol Hill, the Institute for America’s Future compiled the following statements from health care experts and leaders in support of a public insurance option to compete with private insurers. more »