How will the so-called “trigger” work? What will insurance companies need to do to avoid the trigger? Will the trigger have “teeth”? And what will “teeth” amount to? No one seems to take these questions seriously. As such, the trigger seems to be a gimmick providing cover for those who oppose a public action. There is no substitute for a public action. With a public option, it will be apparent whether choice and cost-effectiveness works. Without one there will be no baseline for determining whether insurance companies will be kept “honest.”
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