Key components for an alternative to Medicaid expansion:
. A private insurance policy provides catastrophic coverage, protecting individuals (and taxpayers) from large, unexpected expenses and giving individuals peace of mind that they are covered if they need major surgery or need expensive treatment for a condition such as cancer. Private insurance means individuals avoid the problems with many providers refusing to see new Medicaid patients.
Reasonable cost sharing
. The coverage is not free, but requires reasonable payments of up to 5 percent of income. This limits “crowd out” where individuals who are already paying for insurance drop their private insurance for the “free” government coverage. According to the Census Bureau, 222,000 adults with income below the Federal…