“If the law is partially or fully overturned they’ll draw up bills to keep the popular, consumer-friendly portions in place — like allowing adult children to remain on parents’ health care plans until age 26, and forcing insurance companies to provide coverage for people with pre-existing conditions.”
The provisions that Republicans would keep are, Politico notes, the most popular parts of the health reform law. The difficulty is that they’re also the most expensive, and only become more so after repealing the mandate.
Health policy experts roundly agree that requiring insurers to cover pre-existing conditions, without mandating that everyone buy coverage, would drive up premiums.
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Republicans are, in a way, caught between a rock and a hard place: They want to keep the popular parts of the law, but not the unpopular part — the individual mandate — that makes those well-liked provisions work. Without it, Avik Roy notes, the requirement for insurers to cover everyone falls apart.
“Forcing insurance companies to provide coverage to those with pre-existing conditions—what insurance wonks call “guaranteed issue” —
would destroy the private insurance market, by creating an adverse selection death spiral in which people only buy insurance after they’ve already fallen ill,” he writes.