Health Bill Updates: The Senate’s Better Care Reconciliation Act Gets a CBO Score; NGA Says Slow Down

 JUNE 26, 2017

Monday was a busy day for the health reform debate on Capitol Hill and in state capitals.

Health insurance markets need both healthy and sick consumers to operate. The healthier—read: cheaper to insure—consumers subsidize the higher cost of providing health insurance to sicker patients. An inadequate number of healthy people in the market means the cost of health goes up. That in turn causes even more healthy people to opt out of buying coverage. The “death spiral” occurs because the healthiest people in the group—those that can manage to go without insurance—will keep dropping out as costs go up and up until only the sickest members of the population remain at increasingly high premium costs.


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