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Sunday, November 08, 2009
Debra J. Saunders :: Townhall.com Columnist
D.C.'s 'Failure To Launch' National Health Care Policy
by Debra J. Saunders
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The Senate Health, Education, Labor and Pensions Committee health care bill includes a provision that would allow parents to keep their children as dependents on their health care policies until age 26. Not to be outdone, House Speaker Nancy Pelosi announced last month that, as Congressional Quarterly reported, the House bill "will allow young people to stay on their parents' policies until age 27."

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Do I hear age 28? Why not 30? As long as Washington is giving away private health care coverage, why not eliminate the age cap entirely? The House plan enjoys the support of a new group, "the Young Invincibles," an organization, Pelosi explained "formed to get young adults behind the campaign for health insurance reform."

Eureka. Pelosi has found the way to get young adults behind health care reform -- have mom and dad (or their employers) pay for it. Of course young adults are jumping on the bandwagon.

A few years ago, Matthew McConaughey starred in the movie "Failure to Launch" about a thirtysomething adult who did not want to fly the familial coop. Now the Beltway wants to enable adults to live as their parents' health care wards for years after they've been emancipated.

Forget the old system that allowed adult children to remain on their parents' policies until age 19, or up to age 23 if they were in college, and hence financially dependent. The Washington measures would apply to adults up to age 26 or 27, whether they live at home or not -- as long as they are not married or parents. (And how long do you think it will take for politicians to eliminate those exclusions?)

To my surprise, the insurance industry believes that, if enacted, the failure-to-launch provisions "will have a minimal impact," according to Robert Zirkelbach, press secretary for America's Health Insurance Plans.

In part, the industry accepts this new definition of "dependent" because states have been passing laws extending the wonder years. According to Zirkelbach, Delaware and Oklahoma draw the line at age 18, but it's 22 for North Dakota; 24 in Indiana, South Dakota and Tennessee; 25 in 13 states; and, age 30 in four states, including New Jersey. Also, states have different criteria dealing with residency. The toothpaste is out of the tube; at least a federal measure would provide uniform standards.

As health care expert Steve Zuckerman of the Urban Institute noted, putting young adults on their parents' policies mean more premiums for insurers to cover a group that has pretty low claims. Continued...

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Bad Albino Bob
'
If everyone had to pay as they went, people would exert market forces on the health care system. The system would have to be efficient and competitive. With the great majority of the bills met by a third agent, either government and insurance, there is no such pressure.
'
---
Pay_As_You_Go is great for the wealthy and the invulnerable. But if you have an unexpected and catastrophic illness or accident .. what would you do ? Take out a Health Care Loan of a couple of 100's of Thousands of dollars.

I think one of the major flaws in our overall system is the fee-for-service setup. I believe that Doctors in all honesty will say they major problem is tort reform and defensive medicine.. but would never admit to the obvious -- Fee-For-Services gives them an incentive to do more expensive, if not necessarily required or even better procedures, because it pulls in more money...

Case in point --- are some surgical back procedures which have been found to be no more effective and in some cases more harmful than other tried and true non-invasive procedures. Yet these surgeries have become the norm.

We all love our personal doctors.... but our Doctors can be greedy too. I have ---I had-- a dermatologist who always required that I make a formal appt just to get a prescrip refilled --- for some ingrown hair med. After a while I caught on that he made $105 per visit just to write me a refill of $10 med.

rickssg
"
No, Washington should not try to pass laws to "correct" this situation. Why do so many people assume that people not having coverage is automatically a bad thing? I can easily afford coverage for myself and my family, yet I have seriously considered cancelling my policy and paying all expenses out of pocket
"
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Then you sir are irresponsible.... If you where single I would think less so.... But you have a family and you are thinking about what... ?

Health Insurance is for more than just Age-Related illnesses. You could have a serious accident, or this Flu which effects the younger folk, you wife could have complications during child birth.
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