The challenging mechanics of health insurance exchanges

Overall, I am incredibly disappointed that we must wait until 2014 until many people get the help they need in health reform. I am glad, though, that there is some time to address the incredible operational challenges facing health insurance exchanges. Austin Frakt underscores some of these difficulties.

As he notes, these exchanges aren’t ready for prime time. But prime time is coming.There will be many, many glitches and required midcourse corrections. I just hope our political system is less gridlocked and dysfunctional as 2014 approaches than it is right now.

Author: Harold Pollack

Harold Pollack is Helen Ross Professor of Social Service Administration at the University of Chicago. He has served on three expert committees of the National Academies of Science. His recent research appears in such journals as Addiction, Journal of the American Medical Association, and American Journal of Public Health. He writes regularly on HIV prevention, crime and drug policy, health reform, and disability policy for American Prospect, tnr.com, and other news outlets. His essay, "Lessons from an Emergency Room Nightmare" was selected for the collection The Best American Medical Writing, 2009. He recently participated, with zero critical acclaim, in the University of Chicago's annual Latke-Hamentaschen debate.

3 thoughts on “The challenging mechanics of health insurance exchanges”

  1. Just shove everyone uninsured into Medicare already, and have them pay a certain percentage of their current income. This is ridiculous. So many smart people trying to make a bad system work, it’s a waste.

  2. I just hope our political system is less gridlocked and dysfunctional as 2014 approaches than it is right now.

    Me too, but I suspect it will be worse, and continue to decline until some very large cataclysm in society makes us change. Eastern Colo USA is trying to set up an exchange, and it is slow in getting going.

  3. Repeal and start over. This Rube Goldberg contraption called PPACA will never get off the ground. And if it did, it would complete the process of bankrupting the nation.

Comments are closed.