Hank  Adler

· Millions who had healthcare insurance on December 31, 2013 will not have healthcare insurance by January 6, 2014.

· Some significant percentage of individuals who believe they have signed up for Obamacare on the website will find out that they do not have insurance because of website issues.

· Millions will have been added to Medicaid insurance plans and other state insurance plans where the individual states will likely not have the funds to operate those plans at ‘acceptable levels’ over the long term.

· Millions of young people will have determined that it is best for them to pay or owe a penalty and decline the available healthcare insurance coverage. (The cost of the insurance with a $5000 deductible is not a very good bet for a young person with a very limited budget and no assets to be taken in foreclosure if they in fact need emergency care between January 1st and the first enrollment date for the subsequent year.)

· Millions of adults, a great number heads of families, will determine that existing financial commitments will not allow them to insure all of the members of their families. (Few people save a sufficient amount every month to offset the increases in their insurance premiums and therefore will have to eliminate or reduce other expenditures equal to the amount of the insurance premium increases.)

· The employer mandate will be waiting in the wings with its potential of more people losing their insurance by being reduced to less than thirty hours per week and its equal potential for higher employee contribution participation.

There are a few things that could at least slow down the growth of new issues and perhaps lessen the negative impact of where we are today:

· Defer the date of the employer mandate by a few years.

· Allow the sale of health insurance over state lines.

· Dramatically reduce the services required under the minimum acceptable health insurance policies - more dramatically reduce the services required under the minimum acceptable health insurance policies for people under the age of forty.

· Allow for the sale of catastrophic only health insurance policies.

The President demanded Obamacare and he owns it. It does not belong to the Republicans who were frozen out of the debate; it is called Obamacare for a reason. Hopefully, he can make some good decisions, involve Congress and like Coca Cola get to an answer that is best for his customers: the citizens of the United States. That answer must be available on the first day of the next Congress, January 6, 2014

Hank Adler

Hank Adler is an Assistant Professor at Chapman University.

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