Originally posted by Hugh Glass
http://www.youtube.com/watch?v=DWuX2s7h55A&feature=popular
Not everyone is down and out, in desperate need of insurance..
Should they be forced to buy it... curious
The harsh reality of life is that most of those "healthy people" will eventually develop some sort of pre-existing condition. And at that time, most of those people will suddenly become VERY interested in getting insurance - but they will discover that no one wants to cover them because they are now a "high risk" for the insurer.
Even if you put all of these people with "pre-existing conditions" into a big "high-risk" pool and require insurance companies to offer them all coverage, there's still no way for an insurer to profitably cover these people, at least not without charging premiums that are so high that no one can afford to pay them.
There are two ways to deal with this. One approach is for the government to levy a tax and use the proceeds to give an insurance company a generous subsidy for each person from this high risk group that signs up. This would allow the insurer to offer everyone in the pool an affordable premium.
The other way is to require healthy people to enter the pool. The cost of providing insurance to the average person in the pool then becomes low enough for an insurer to be able to cover everyone in the pool. (Or you can combine these two and give everyone a choice of either getting insurance or paying taxes)
A totally different approach (which was rejected) would be to create a public option (such as an expansion of Medicare) where the government would directly provide coverage to everyone in that high risk pool that the insurance companies don't want to cover.