The Corner

Gottlieb on the Exchanges

Last week, I noted that the question of an insurance death spiral in the Obamacare exchanges is not as simple as it seems (and it doesn’t even seem that simple!) 

The exchanges are likely to be in very serious trouble, and adverse selection will be a main driver of that trouble, but probably not following the usual death spiral model. Today, AEI health expert Scott Gottlieb raises several crucial additional points, noting that insurers rushing for the exits could be a bigger part of the problem. Well worth your while if you’re into the details of this ridiculous mess of a law. 

Yuval Levin — Yuval Levin is the editor of National Affairs and a fellow at the Ethics and Public Policy Center.

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