Friday, November 8, 2013

The Few, The Angry, the Ten Million Cancellations: What About the Political Economy of the Ten Million Cancellations?

"There's a problem, that "a small percentage of folks" (8-10 million people) are facing canceled individual market health insurance plans, and some of them are "disadvantaged" by the new options, or will be once they can see them on a functioning The President has directed his team to consider some administrative solutions to fix the problem, to "address some of those gaps."

The problem with the President's public statement is that he has now frozen the individual insurance market in place until he announces his new solutions. If you are one of the 8-10 million Americans with a canceled insurance policy, President Obama just created an enormous incentive for you to hold off on buying a new policy, to wait for the Administration to offer you a new solution.

Had they announced a new solution today, they would not have created this problem. The disincentive to buy a new plan comes from offering hope of a better outcome with no specificity or timeframe.

This new disincentive to buy insurance applies nationwide and is independent of the broken federal exchange website. I expect states running their own exchanges like California and Colorado, Minnesota and Maryland, DC, New York, and Connecticut, will see their new enrollments now drop as those with canceled policies wait for the President's next move. States participating in the federal exchange won't see any drop because the broken website is already preventing signups. Still, even in those states the President has created a new reason not to buy insurance on the exchange when it eventually does work, at least until he announces his new policy.

Because the story is so hot, and because the President's allies in Congress are desperate to offer their angry constituents some hope, we can be assured that the President's ambiguous offer of future hope, and the purchasing disincentive it creates, will get a lot of attention.
The optimistic interpretation for this new policy signal is that President Obama and his team understood this balance when the President spoke yesterday, that they weighed the cost of further discouraging new signups against the benefit of partially relieving growing pressure to help angry citizens who liked their canceled policies.” - Another Unforced Error, Keith Hennessey, 11/08/2013


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