States Wrangle Over Obamacare’s Health Insurance Exchanges | Health Care Economics, Insurance, Payment | JAMA Forum Archive | JAMA Network
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States Wrangle Over Obamacare’s Health Insurance Exchanges

Way, way back in the long ago, when Obamacare was just a bill and not yet a law, a robust debate was conducted on how the health insurance exchanges should be set up. Most people who supported the bill in one form or another agreed that we needed the exchanges. They would provide the marketplace where we could pool people who were not receiving insurance through their employers. These types of collectives were common in countries that rely on private insurance companies to achieve universal coverage, and they are exemplified by the Massachusetts Health Connector, where individuals buy insurance in that state if they don’t get it through their jobs.

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