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What we agree on, broadly, is that the rules should apply to everyone. But we’ve yet to put this moral principle into practice. The challenge for any plan is to avoid the political perils of a big, overnight switch that could leave many people with higher costs and lower benefits. There are, however, many options for a gradual transition. Just this June, the Nevada legislature passed a bill that would have allowed residents to buy into the state’s Medicaid plan—if the governor hadn’t vetoed it. A similar bill to allow people to buy into Medicare was recently introduced in Congress. We need to push such options forward. Maintaining the link between health coverage and jobs is growing increasingly difficult, expensive, and self-defeating. But deciding to build on what’s currently working requires overcoming a well of mistrust about whether such investments will really serve a shared benefit.
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Sutter Health Alta Bates Summit Medical Center, in Oakland, Calif. is one of hundreds of hospitals serving poor patients that will get some reprieve from Medicare's readmissions penalties. Smith Collection/Gado/Getty Images hide caption
For dental insurance to be worth the money for me, I would need to get a fair amount of work done. Information My wife’s employer has an unusual dental insurance offering: Basic services such as routine cleanings, x-rays, and exams are free for her only. But if you want additional insurance to cover fillings and other dental work or to cover other family members, there is a fee for both.
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