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Certain recent proposals to ostensibly expand health care "choice" and "competition" would have exactly the opposite effect. One such recent proposal is to create a national health care "market" through a congressionally designed "national health insurance exchange" where a government health plan would compete directly with private health plans.[1]
The declared purpose of this arrangement is to give those Americans who were not enrolled in employment-based health insurance coverage, or those with insecure coverage, the opportunity to get stable, affordable health insurance that would have a guaranteed set of government standardized benefits (such as Medicare or a version of Medicare) calibrated for a younger population. Usually, this kind of proposal is accompanied by an employer mandate, whereby employers who do not offer private coverage are required to pay a tax that would, in turn, help to finance coverage in the competing public program.
Government as Player and Umpire ....
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