Charles Dharapak, ASSOCIATED PRESS
On Oct. 1, the health care exchanges set up under the Affordable Care Act will go into effect. It is meant to help consumers better shop for health care options when purchasing coverage.
As with most parts of the Affordable Care Act, it has been subject to intense political debate and maneuvering on Capitol Hill, with the House GOP recently threatening to shut down the government if funding was provided for the act.
People have differing opinions on the upcoming exchanges, such as the USA Today editorial board and senior fellow at the Manhattan Institute for Policy Research Avik Roy, who take differing stances in USA Today’s “Opposing View” series.
“Expect trouble. The health exchanges where people will sign up are brand new, and like anything this big, glitches are inevitable. Exchanges intended to be friendly online stores will be less seamless than Expedia or Amazon, at least at first,” the USA Today editorial board said. It warns people to expect troubles at first, as they would with almost any system, but that if past experience is any indicator, things will work out in the end for the exchanges. “When the inevitable problems begin turning up next week, it might be worth remembering the fury that greeted Medicare's prescription drug program when it introduced exchanges in 2006. Last year, a poll showed that 90% of seniors like the program. It is politically unassailable,” it said.
Roy, on the other hand, is much less optimistic about the exchanges and the mandate that goes along with it, believing that it will be far more expensive for people to justify the benefits. “In most states, the cost of individually purchased health insurance will increase significantly, as much as 160%. A handful of states will see average rates go down. But that's generally because those states, like New York, had long ago imposed ObamaCare-like mandates that made insurance unaffordable for the young and healthy. Nationally, so far, we've found that ObamaCare will increase premiums in the individual market by an average of 24%,” he said.
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