Earlier quoted context omitted.
> There are obvious tradeoffs involved, but I really never see this aspect considered in public debate. It was a big aspect in 2009/2010 when ACA was being passed. The reason people want insurance tied to employment is because they benefit from lower premiums because their risk pool experiences less healthcare costs than the general public. If everyone was dumped into one marketplace and risk pool, then the insurance…
Why continue to allow the existence of these various parasitic middlemen health insurance companies with their redundant bureaucracies and the N x N billing problems, networks, etc. they introduce?
And it was gutted pretty quickly when the most important part of it, mandatory purchasing of insurance (I.e. a tax), was repealed in 2017.