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Brad F

I think the more intriguing discussion relates to whether, in a society where a Paul Starr type option exists (sans mandate), and a "rugged individualist" chooses to go bareback, what then?

Harold approaches the tragic case above in ACA default mode (with the mandate, "this would not happen"). Of course, he might be referring to the plight of individuals ONCE they are in a 2014+ Medicaid program--with or without pre-existing coverage.

Regardless, I think this is a sensible test case for folks with more conservative or libertarian leanings. Essentially, in the coverage environment you envision--the world of opt out--what do we do with this patient?

If the answer is not let them die, its time to rethink plan.


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