I have been in the health insurance business for 40 years. The ACA (Obamacare) mandated a certain level of benefits that must be included in all health plans. This is identical to the what every state legislature does when it mandates what is minimum coverage for auto insurance. One wants to know that if someone crashes into you that they at least have enough insurance to fix your car, if not their own.
The exchanges are simply PRIVATE insurance companies competing for business in a marketplace. They are all quoting the same benefit packages and are simply competing at price. No one demanded or required them to compete for this business or offer insurance in the exchanges. Some exchanges have more companies offering insurance than others. These private companies are doing so because they think they can make a few bucks. It is not some government conspiracy to take over the insurance business.
That having been said, one may notice that no other industrialized nation on earth has seen fit to copy our health care system. It simply has not worked, and I personally see very little on the horizon to make me believe it will work in the future.
In fact, in response to the writer who suggested more universal plans are not working and are unpopular might look only to our neighbor to the north whose health care system is quite popular with Canadian citizens. I know, I know, Canadians are marching to the US for their health care needs. This post is to short to actually address this issue, but suffice to say Canadians are NOT coming in any great numbers to the US for their basic health care needs. Actually, when you factor out tourists from Canada who receive emergency treatment, the incidence of Canadians coming to the US is actually quite small, and is comprised almost exclusively of higher income individuals seeking elective surgery due to the wait in Canada for those types of services.
Take a look around the world and compare the healthcare systems of other advanced societies. Many have found ways to both meet the needs of their citizens and do it at significantly less money than we spend. For your research pleasure I would recommend looking at that downtrodden and financially irresponsible country of Switzerland as an example of how we might address this issue ion the future. See the book "The Healing of America; A Global Quest for Better, Cheaper, and Fairer Health Care" by T.R. Reid.
Finally, yes, we have the finest health care system in the world, but only if you can afford it.
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