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Health care
Monday, April 2 at 1:15 PM


William Duffy of Colorado Springs writes:

I’d like to respond to the Speakout column of 3/24/07, “Health coverage on mend” by Mark Hillman.
Although he correctly identifies the “death spiral” that occurs as a result of adverse selection in for-profit “health insurance", he offers a dim witted, self-serving solution. Although “rating flexibility” may sound like a solution to expensive insurance premiums, it is just another form of exclusion for people who need insurance.
It is easy to arrogantly sit up on ones high horse demeaning our less deserving neighbor who “smokes like a chimney, drinks like a fish, eats like there’s no tomorrow, and exercises only the remote control.” However, he ought to consider the fact that everybody is susceptible to an uncontrollable, significantly expensive health crisis. Just consider the parent faced with a disabled newborn, or a family member with a head injury as a result of an accident. With a lack of community rating in health insurance, a small employer faced with an employee’s expensive health crisis will see premiums soar.
One adverse result is that such an event can motivate a termination. A boss faced with this problem quickly finds new reasons to raise the bar on job performance that the employee cannot meet.
At the time when he most needs coverage, the poor wretch discovers that both his job and his health insurance are lost.
The solution to this problem is not simply generating more patches to our flawed, employer-based, health insurance system. The solution is Universal Coverage. Everyone must be covered so the costs can be shared between both the healthy and ill members of our society.

This letter has not been edited.


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