Is implementing Romneycare state by state a good idea? Given the issues we have to consider when looking at healthcare, like moving across state lines, pre-existing conditions, etc., it seems like having 50 different sets of health care laws would be wildly inefficient. I say "yes" because then you have more choices. Maryland had a state insurance plan for residents with pre-existing conditions before ACA, and I was on it for about 1 year. It was run by BC/BS - so when I worked in DC it wasn't an issue to see a doctor in DC as long as they accepted BC/BS. Rates were by age-range and income and there were lower premiums if your income was X amount below median for the state - and it was doing well enough that it expanded to allow enrolls to enroll depedants - so if I'd had a spouse I could've had them covered, even if they didn't have pre-existing conditions.Pre-existing conditions don't become an issue if (like Maryland's plan was) the insurance is specifically for people with pre-existing conditions, or if you can't deny people with pre-existing conditions (like ACA now) or if via HIPP laws you don't have a break in coverage.I got off it once I had a full-time job where insurance premium was subsidized more by the employer than what I was paying in premium for Maryland's state plan.
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