Why the ACA needs young people and the looming 'death spiral' for health insurance
Briefly

Why the ACA needs young people  and the looming 'death spiral' for health insurance
"My premium is already $460 a month, and that is for the highest deductible plan that exists," she says."
"I don't plan to get insurance next year," she says. "I'm just not going to do it I'll pay out of pocket."
"You need people to be paying into the insurance system when they're healthy so that they can take out when they're sick," explains Cynthia Cox of KFF, a nonpartisan health research organization."
A small-business owner in coastal Maine faces a $460 monthly premium for the highest-deductible ACA plan and plans to forgo coverage next year as enhanced premium tax credits expire and rates rise. The loss of younger, healthier enrollees worries health experts because insurance markets depend on broad risk pooling: younger people typically pay more into the system than they consume, while older, sicker people consume more than they pay. Current ACA enrollment is high at about 24 million, but large-scale dropout by young people could destabilize premiums and overall market balance.
Read at www.npr.org
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