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View Diary: HCR:  Where Do We Go Now, Sweet Child 'O Mine? (45 comments)

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  •  I actually don't like Grayson's idea. (1+ / 0-)
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    I have tremendous respect for the Congressman, but I disagree with him on this.  His idea, by making the buy-in voluntary, would result in tremendous anti-selection against Medicare.  For starters, Medicare has a pure community rating; current law does not.  Second, Medicare's benefit package is tailored towards older adults:  Medicare doesn't exactly cover items such as pediatrics and maternity care.  So why would a 27-year-old bachelor younger Americans want to pay $600/mo. for Medicare when he could by a $150/mo. benefit package tailored more to his needs?  And if only older, sicker adults buy into Medicare, what will happen to Medicare's risk pool, and how will it be affordable to current Medicare beneficiaries?

    As I outlined in my diary, making participation in the Exchange voluntary is going to lead to similar anti-selection problems that the option Medicare buy-in has.

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